{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T13:01:17Z","timestamp":1780232477132,"version":"3.54.0"},"reference-count":41,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004022","name":"Jenny and Antti Wihuri Foundation","doi-asserted-by":"publisher","award":["00210134"],"award-info":[{"award-number":["00210134"]}],"id":[{"id":"10.13039\/501100004022","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Paulon S\u00e4\u00e4ti\u00f6 Foundation","award":["250035"],"award-info":[{"award-number":["250035"]}]},{"DOI":"10.13039\/501100002341","name":"Research Council of Finland","doi-asserted-by":"publisher","award":["348202"],"award-info":[{"award-number":["348202"]}],"id":[{"id":"10.13039\/501100002341","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007738","name":"Foundation for Economic Education","doi-asserted-by":"crossref","award":["210137"],"award-info":[{"award-number":["210137"]}],"id":[{"id":"10.13039\/100007738","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["INQUIRY"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      Health technology innovations often challenge established practices, roles, and norms, which can impede their adoption and diffusion across healthcare systems. This study explores how those involved in sleep research and innovation facilitate adoption and diffusion of diagnostic solutions for obstructive sleep apnea (OSA) by addressing perceived legitimacy concerns\u2014conceptualized here as cognitive, moral, and pragmatic legitimacy pressures\u2014during solution development. We refer to these efforts as\n                      <jats:italic toggle=\"yes\">navigating legitimacy<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study draws on 24 thematic interviews with individuals involved in sleep research and innovation in Finland (e.g., researchers, diagnostic device developers, clinicians). Interview transcripts were analyzed using inductive and deductive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The analysis indicated that respondents navigate legitimacy through contextual and ongoing legitimacy-building activities that combine discursive and material aspects. These activities exert influence on how the diagnostic solution takes shape, highlighting that diagnostic innovation is profoundly embedded within social and institutional contexts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Practically, our research provides valuable insights for researchers, developers, and policymakers into the dynamics through which digital health innovation is developed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00469580261448593","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:52:22Z","timestamp":1777877542000},"page":"1-1","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Navigating Legitimacy in the Development of Obstructive Sleep Apnea Diagnostics: A Qualitative Study"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0678-2512","authenticated-orcid":false,"given":"Taru","family":"Kes\u00e4vuori","sequence":"first","affiliation":[{"name":"Business School, University of Eastern Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3236-8988","authenticated-orcid":false,"given":"Tero","family":"Montonen","sequence":"additional","affiliation":[{"name":"Business School, University of Eastern Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8172-1165","authenticated-orcid":false,"given":"P\u00e4ivi","family":"Eriksson","sequence":"additional","affiliation":[{"name":"Business School, University of Eastern Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3281-5381","authenticated-orcid":false,"given":"Simcha","family":"Jong","sequence":"additional","affiliation":[{"name":"Business School, University of Eastern Finland"},{"name":"Global Business School for Health, University College London"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,3]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/00081256241276553"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/20552076221081693"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.2307\/258788"},{"key":"e_1_3_7_5_2","first-page":"1","volume-title":"The Legitimacy of Medical Treatment","author":"Fovargue S","year":"2016","unstructured":"Fovargue S, Mullock A. 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