Review of Systematic, Scoping and Other Reviews using the Nonadoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework to understand barriers to implementation of eHealth: Scoping Review

Background and RationaleE-health and m-health interventions show considerable promise for enhancing access to care, health outcomes, and service efficiency. However, there is often a mismatch between the tools developed and the needs and capabilities of intended users. Reviews have been conducted on implementing e-health and m-health innovations using the NASSS (Non-adoption, Abandonment, Scale-up, Spread and Sustainability) framework to explore this challenge. The NASSS considers complex, multi-level factors across seven domains – condition, technology, value proposition, adopter system, organization, wider system, embedding over time – that influence whether these innovations get adopted in real-world settings.

As the number of reviews employing the NASSS framework grows, there is a need to map the evidence landscape regarding its application. Scoping reviews of reviews systematically search,screen, extract and summarize findings from published reviews on a topic to clarify concepts, consolidate knowledge and identify gaps. We will conduct a scoping review of reviews applying the NASSS framework to categorize determinants of e-health and m-health implementation. Although application is still early, at least 14 reviews using NASSS were published by the end of2022. A scoping review can determine what interventions, settings, stakeholders and NASSS domains have been examined so far, and where knowledge gaps persist.