{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T12:46:38Z","timestamp":1753274798988,"version":"3.38.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2016,7,26]],"date-time":"2016-07-26T00:00:00Z","timestamp":1469491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:p> Little is known about the factors which facilitate or impede the large-scale deployment of health and well-being consumer technologies. The Living-It-Up project is a large-scale digital intervention led by NHS 24, aiming to transform health and well-being services delivery throughout Scotland. We conducted a qualitative study of the factors affecting the implementation and deployment of the Living-It-Up services. We collected a range of data during the initial phase of deployment, including semi-structured interviews (N = 6); participant observation sessions (N = 5) and meetings with key stakeholders (N = 3). We used the Normalisation Process Theory as an explanatory framework to interpret the social processes at play during the initial phases of deployment. <\/jats:p><jats:p> Initial findings illustrate that it is clear \u2212 and perhaps not surprising \u2212 that the size and diversity of the Living-It-Up consortium made implementation processes more complex within a \u2018multi-stakeholder\u2019 environment. To overcome these barriers, there is a need to clearly define roles, tasks and responsibilities among the consortium partners. Furthermore, varying levels of expectations and requirements, as well as diverse cultures and ways of working, must be effectively managed. Factors which facilitated implementation included extensive stakeholder engagement, such as co-design activities, which can contribute to an increased \u2018buy-in\u2019 from users in the long term. An important lesson from the Living-It-Up initiative is that attempting to co-design innovative digital services, but at the same time, recruiting large numbers of users is likely to generate conflicting implementation priorities which hinder \u2212 or at least substantially slow down \u2212 the effective rollout of services at scale. <\/jats:p><jats:p> The deployment of Living-It-Up services is ongoing, but our results to date suggest that \u2212 in order to be successful \u2212 the roll-out of digital health and well-being technologies at scale requires a delicate and pragmatic trade-off between co-design activities, the development of innovative services and the efforts allocated to widespread marketing and recruitment initiatives. <\/jats:p>","DOI":"10.1177\/1460458215594651","type":"journal-article","created":{"date-parts":[[2015,8,15]],"date-time":"2015-08-15T01:34:22Z","timestamp":1439602462000},"page":"867-877","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Implementation factors affecting the large-scale deployment of digital health and well-being technologies: A qualitative study of the initial phases of the \u2018Living-It-Up\u2019 programme"],"prefix":"10.1177","volume":"22","author":[{"given":"Ruth","family":"Agbakoba","sequence":"first","affiliation":[{"name":"University of Glasgow, UK"},{"name":"University of Glasgow, UK"}]},{"given":"Marilyn","family":"McGee-Lennon","sequence":"additional","affiliation":[{"name":"University of Glasgow, UK"}]},{"given":"Matt-Mouley","family":"Bouamrane","sequence":"additional","affiliation":[{"name":"University of Strathclyde, UK"},{"name":"University of Glasgow, UK"}]},{"given":"Nicholas","family":"Watson","sequence":"additional","affiliation":[{"name":"University of Glasgow, UK"}]},{"given":"Frances S","family":"Mair","sequence":"additional","affiliation":[{"name":"University of Glasgow, UK"}]}],"member":"179","published-online":{"date-parts":[[2016,7,26]]},"reference":[{"key":"bibr1-1460458215594651","doi-asserted-by":"crossref","unstructured":"McGee-Lennon M, Bouamrane M-M, Barry S, Evaluating the Delivery of Assisted Living Lifestyles at Scale (dallas). In: Proceedings of design & implementation of independent & assisted living technology: 26th BCS conference on human computer interaction, HCI2012-people & computers XXVI, 2012. eWic, http:\/\/ewic.bcs.org\/content\/ConWebDoc\/48790","DOI":"10.14236\/ewic\/HCI2012.58"},{"key":"bibr2-1460458215594651","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60240-2"},{"key":"bibr3-1460458215594651","unstructured":"Appleby J. Spending on health and social care over the next 50 years. King\u2019s Fund, 2013, http:\/\/www.kingsfund.org.uk\/time-to-think-differently\/publications\/spending-health-and-social-care-over-next-50-years"},{"key":"bibr4-1460458215594651","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2011.0033"},{"key":"bibr5-1460458215594651","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2010.08.006"},{"key":"bibr6-1460458215594651","unstructured":"World Economic Forum. Global Agenda Council on digital health 2012\u20132014, http:\/\/www.weforum.org\/reports\/global-agenda-council-digital-health-2012-2014 (2014, accessed 10 June 2014)."},{"key":"bibr7-1460458215594651","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c5195"},{"first-page":"300","volume-title":"Proceedings of the 5th international conference on pervasive computing technologies for healthcare (Pervasive Health) and Workshops","author":"Bouamrane MM","key":"bibr8-1460458215594651"},{"key":"bibr9-1460458215594651","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.11.099424"},{"key":"bibr10-1460458215594651","doi-asserted-by":"publisher","DOI":"10.1177\/1460458212441474"},{"volume-title":"Proceedings of the 15th world congress on health and biomedical informatics (MedInfo 2015)","author":"Agbakoba R","key":"bibr11-1460458215594651"},{"volume-title":"Qualitative research practice: a guide for social science students and researchers","year":"2014","author":"Ritchie J","key":"bibr12-1460458215594651"},{"key":"bibr13-1460458215594651","doi-asserted-by":"publisher","DOI":"10.1177\/0038038509103208"},{"key":"bibr14-1460458215594651","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-9-2"},{"key":"bibr15-1460458215594651","doi-asserted-by":"publisher","DOI":"10.1177\/1460458212442933"},{"key":"bibr16-1460458215594651","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-14-93"}],"container-title":["Health Informatics Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1460458215594651","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1460458215594651","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1460458215594651","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T03:57:53Z","timestamp":1740974273000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1460458215594651"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,26]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,12]]}},"alternative-id":["10.1177\/1460458215594651"],"URL":"https:\/\/doi.org\/10.1177\/1460458215594651","relation":{},"ISSN":["1460-4582","1741-2811"],"issn-type":[{"type":"print","value":"1460-4582"},{"type":"electronic","value":"1741-2811"}],"subject":[],"published":{"date-parts":[[2016,7,26]]}}}