Abstract
Background: Digital health solutions and services are recognized as critical to achieve person-centred integrated health and social care (IC). The Value Aligned Digital Health Consortium (established in 2023) is a multi-disciplinary and multi-perspective group including researchers, providers, systems leaders, industry representatives as well as community partnership ensuring representation of diverse patients, caregivers and community members. The Consortium has developed an implementation tool that helps ensure digital health solutions align with and advance the underlying values of IC models. This poster will present preliminary findings from a modified Delphi study used to validate the tool and will ask delegates to “field test” it to assess its feasibility and applicability to international contexts.
Study Objectives: The proposed project will advance meaningful adoption of digital health services and tools to enable the delivery of high-quality, equitable, and compassionate person-centred integrated care. To achieve this aim, we are running a modified-Delphi study to validate a set of value-based prompts designed to support implementation of digital health tools that promote values which underpin person-centred integrated care. To this end, this project will meet the following objectives:
1.Refine and prioritize value-based prompts
2.Align prompts to stages of digital health development, implementation and evaluation
3.Co-design a web-based toolkit and guide for digital health implementers to be able to effectively use prompts
Methods and approach: Refining and prioritizing the 52 value-based prompts created through previous work by this team, (objective 1) and the alignment of those prompts to stages of digital health development, implementation, and evaluation processes (objective 2) will occur through four rounds of a modified Delphi approach; a method used to gain consensus across a group of experts or key stakeholders. As is consistent with this method [17] the first two rounds serve to decrease the number of prompts and prioritize items, and the second two rounds focus on aligning prioritized prompts to values (Round 3) and development, implementation, and evaluation stages (Round 4). The method will conclude with a half-day hybrid consensus meeting with participants.
Delphi participants: We sought to engage a diverse group of patients, care partners, providers, systems leaders, researchers, and industry partners with experience in implementation of digital technology in person-centred and integrated care models to participate, with a target of 60-80 participants across Canada to ensure representation across the different perspectives.
Anticipated impact and dissemination: This work advances foundational efforts by the Value-Aligned Digital Health Consortium to improve adoption and implementation of technology that aligns to the values of integrated care. Part of this work is to develop an interactive website where the final validated tool will be housed so that implementers internationally can use it in practice.