{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T21:19:37Z","timestamp":1787951977287,"version":"build-2784847793"},"reference-count":30,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Rehabil Assist Technol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The implementation of Internet of Things (IoT) technologies to proactively monitor the functioning of assistive products remains underexplored, particularly in public assistive technology services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This qualitative single-case study investigated how a public assistive technology provider in Sweden implemented IoT-equipped assistive products.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The implementation process was mapped, and a thematic analysis of interviews with 6 participants representing key organizational roles was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The process comprised 9 major events involving 4 main stakeholders. The findings included 4 themes of facilitators and 5 themes of barriers, which were synthesized into three meta-themes: (1) system-level structures that enable and constrain implementation, (2) tensions between technological potential and the challenges of realizing it, and (3) relational and cultural dynamics that balance trust with caution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings underscore the importance of using a sociotechnical framework to guide the implementation of IoT in assistive technology services. Such a framework supports a holistic approach that integrates user needs, privacy considerations, and regulatory requirements, while drawing on leadership, technical expertise, and collaboration to address legal, organizational, technical, and user-related challenges. The implications for health care technology implementation are that organizations should adopt sociotechnical implementation strategies that account for legal, organizational, technical, and user-related considerations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/92414","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T20:41:32Z","timestamp":1787949692000},"page":"e92414-e92414","source":"Crossref","is-referenced-by-count":0,"title":["Stakeholder Perspectives on Facilitators of and Barriers to the Implementation of Internet of Things\u2013Equipped Powered Wheelchairs in Sweden: Qualitative Case Study"],"prefix":"10.2196","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4432-5256","authenticated-orcid":false,"given":"Johan","family":"Borg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7044-8896","authenticated-orcid":false,"given":"Marie","family":"Elf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6841-7644","authenticated-orcid":false,"given":"Anders","family":"Brantnell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7409-8966","authenticated-orcid":false,"given":"Klas","family":"Palm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"issue":"10","key":"R1","doi-asserted-by":"publisher","first-page":"1949","DOI":"10.1016\/j.apmr.2018.04.002","article-title":"Wheelchair breakdowns are associated with pain, pressure injuries, rehospitalization, and self-perceived health in full-time wheelchair users with spinal cord injury","volume":"99","author":"Hogaboom","journal-title":"Arch Phys Med Rehabil"},{"issue":"12","key":"R2","doi-asserted-by":"publisher","first-page":"2034","DOI":"10.1016\/j.apmr.2009.07.020","article-title":"Wheelchair repairs, breakdown, and adverse consequences for people with traumatic spinal cord injury","volume":"90","author":"McClure","journal-title":"Arch Phys Med Rehabil"},{"issue":"10","key":"R3","doi-asserted-by":"publisher","first-page":"1753","DOI":"10.1016\/j.apmr.2016.03.032","article-title":"Type and frequency of reported wheelchair repairs and related adverse consequences among people with spinal cord injury","volume":"97","author":"Toro","journal-title":"Arch Phys Med Rehabil"},{"issue":"4","key":"R4","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1016\/j.apmr.2021.01.094","article-title":"Factors influencing incidence of wheelchair repairs and consequences among individuals with spinal cord injury","volume":"103","author":"Worobey","journal-title":"Arch Phys Med Rehabil"},{"key":"R5","unstructured":"Global report on assistive technology. World Health Organization; 2022. URL: https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/17a1cbf6-be26-466c-9fca-ab80eeb2d192\/content [Accessed 08-08-2026]"},{"key":"R6","unstructured":"Minerva R Biru A Rotondi D . Towards a definition of the internet of things (IoT). IEEE Internet Initiative; 2015. URL: https:\/\/iot.ieee.org\/images\/files\/pdf\/IEEE_IoT_Towards_Definition_Internet_of_Things_Revision1_27MAY15.pdf [Accessed 08-08-2026]"},{"issue":"11","key":"R7","doi-asserted-by":"publisher","DOI":"10.2196\/20135","article-title":"The internet of things: impact and implications for health care delivery","volume":"22","author":"Kelly","journal-title":"J Med Internet Res"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Korzun DG . Internet of things meets mobile health systems in smart spaces: an overview. In: Bhatt C Dey N Ashour A , editors. Internet of Things and Big Data Technologies for Next Generation Healthcare. Springer; 2017:111-129. [doi: 10.1007\/978-3-319-49736-5_6]","DOI":"10.1007\/978-3-319-49736-5_6"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1016\/j.techsoc.2024.102675","article-title":"Sociotechnical analysis of factors influencing IoT adoption in healthcare: a systematic review","volume":"78","author":"Kronlid","journal-title":"Technol Soc"},{"issue":"1","key":"R10","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1186\/1748-5908-4-50","article-title":"Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science","volume":"4","author":"Damschroder","journal-title":"Implementation Sci"},{"issue":"5","key":"R11","doi-asserted-by":"publisher","first-page":"981","DOI":"10.1109\/TSMCA.2009.2025452","article-title":"System and actor perspectives on sociotechnical systems","volume":"39","author":"de Bruijn","journal-title":"IEEE Trans Syst, Man, Cybern A"},{"issue":"11","key":"R12","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8775","article-title":"Beyond adoption: a new framework for theorizing and evaluating nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability of health and care technologies","volume":"19","author":"Greenhalgh","journal-title":"J Med Internet Res"},{"issue":"3","key":"R13","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1177\/0038038509103208","article-title":"Implementing, embedding, and integrating practices: an outline of normalization process theory","volume":"43","author":"May","journal-title":"Sociology"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Sittig DF Singh H . A new socio-technical model for studying health information technology in complex adaptive healthcare systems. In: Patel VL Kannampallil TG Kaufman DR , editors. Cognitive Informatics for Biomedicine: Human Computer Interaction in Healthcare. Springer; 2015:59-80. [doi: 10.1007\/978-3-319-17272-9_4]","DOI":"10.1007\/978-3-319-17272-9_4"},{"issue":"5","key":"R15","doi-asserted-by":"publisher","first-page":"1026","DOI":"10.1093\/jamia\/ocab002","article-title":"Moving toward a sociotechnical systems approach to continuous health information technology design: the path forward for improving electronic health record usability and reducing clinician burnout","volume":"28","author":"Carayon","journal-title":"J Am Med Inform Assoc"},{"issue":"4","key":"R16","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1177\/15553434221097357","article-title":"A sociotechnical systems framework for the application of artificial intelligence in health care delivery","volume":"16","author":"Salwei","journal-title":"J Cogn Eng Decis Mak"},{"issue":"1","key":"R17","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1177\/0038022920970318","article-title":"Case study methodology of qualitative research: key attributes and navigating the conundrums in its application","volume":"70","author":"Priya","journal-title":"Sociol Bull"},{"key":"R18","unstructured":"Yin RK . Case Study Research: Design and Methods. 5th ed. Sage Publications; 2013. ISBN: 978-1452242569"},{"issue":"9","key":"R19","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.1097\/ACM.0000000000000388","article-title":"Standards for Reporting Qualitative Research: a synthesis of recommendations","volume":"89","author":"O\u2019Brien","journal-title":"Acad Med"},{"issue":"2","key":"R20","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1016\/j.apergo.2013.02.009","article-title":"Advancing socio-technical systems thinking: a call for bravery","volume":"45","author":"Davis","journal-title":"Appl Ergon"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.2196\/71546","article-title":"Key factors shaping successful implementation of the internet of things (IoT) in health care: qualitative study","volume":"12","author":"Palm","journal-title":"JMIR Hum Factors"},{"key":"R22","unstructured":"TurboScribe. URL: https:\/\/turboscribe.ai\/ [Accessed 14-11-2025]"},{"issue":"2","key":"R23","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","journal-title":"Qual Res Psychol"},{"issue":"4","key":"R24","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1080\/2159676X.2019.1628806","article-title":"Reflecting on reflexive thematic analysis","volume":"11","author":"Braun","journal-title":"Qual Res Sport Exerc Health"},{"issue":"3","key":"R25","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1177\/146879410100100307","article-title":"Thematic networks: an analytic tool for qualitative research","volume":"1","author":"Attride-Stirling","journal-title":"Qual Res"},{"key":"R26","doi-asserted-by":"publisher","DOI":"10.2196\/54974","article-title":"Harnessing ChatGPT for thematic analysis: are we ready?","volume":"26","author":"Lee","journal-title":"J Med Internet Res"},{"key":"R27","doi-asserted-by":"publisher","DOI":"10.1016\/j.technovation.2022.102511","article-title":"Interdisciplinary research unlocking innovative solutions in healthcare","volume":"120","author":"Lepore","journal-title":"Technovation"},{"key":"R28","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2017.11.011","article-title":"Clinician user involvement in the real world: designing an electronic tool to improve interprofessional communication and collaboration in a hospital setting","volume":"110","author":"Tang","journal-title":"Int J Med Inform"},{"issue":"2","key":"R29","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1080\/14719037.2018.1473477","article-title":"A systematic review of barriers to public sector innovation process","volume":"21","author":"Cinar","journal-title":"Public Manag Rev"},{"key":"R30","doi-asserted-by":"publisher","DOI":"10.2196\/48633","article-title":"Barriers to and facilitators of artificial intelligence adoption in health care: scoping review","volume":"11","author":"Hassan","journal-title":"JMIR Hum Factors"}],"container-title":["JMIR Rehabilitation and Assistive Technologies"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T20:41:33Z","timestamp":1787949693000},"score":1,"resource":{"primary":{"URL":"https:\/\/rehab.jmir.org\/2026\/1\/e92414"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,28]]},"references-count":30,"URL":"https:\/\/doi.org\/10.2196\/92414","relation":{},"ISSN":["2369-2529"],"issn-type":[{"value":"2369-2529","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,28]]},"article-number":"v13i10e92414"}}