Implementation Barriers Sample Clauses

Implementation Barriers. Participants identified numerous issues that are likely to affect successful implementation of passive remote monitoring technology. The physical safety concerns raised, relating to ligature risk and use as a weapon, appeared to be linked to a specific design characteristic (elastic armband) of a device presented during the focus groups. This highlights the importance of considering the physical design of passive remote monitoring technology intended for use in inpatient services, where physical safety and risk of self-harm are management priorities. Concerns were raised that continuous monitoring may exacerbate symptoms of paranoia, consistent with concerns raised in Bourla et al. (2018) regarding exacerbating symptoms of anxiety. While previous studies in the community indicate the acceptability of passive remote monitoring for individuals with psychosis (Xxxxx et al., 2018, 2019; Xxxxx et al., 2018), it may be a pertinent issue for those involuntarily admitted to inpatient services and experiencing loss of control and restrictive practices (XxXxxxxxxx et al., 2018). Establishing trust with users beforehand and evaluating whether adverse effects do arise as a consequence of monitoring, is therefore likely to be integral to successful implementation. Consistent with previous research among staff (Xxxxxxxxx et al., 2019; Huckvale et al., 2019) and service users (Xxxxxxxx et al., 2018), participants expressed data privacy concerns. The specific concerns related to three areas where they would require adequate assurance to be comfortable using passive remote monitoring: data storage, security, and accessibility by third parties. Addressing these concerns in the long term will require transparency from digital health companies about the procedures in place for handling user data, and to ensure that users have access to this information. In the shorter term, participants reported that staff could play an important role in providing reassurance to users. The suggestion that staff could lead by example by trialling the devices themselves reflects the role of staff as positive role models in inpatient services (Xxxxxxxx & Xxxxx, 2018) and is a practical approach to alleviating user concerns. Participants expressed concern that incorporating passive remote monitoring technology into their working practice might negatively affect their existing workload. Like Xxxxx et al. (2019), participants were concerned with the potential burden of handling and analysing large ...