PEC innovation最新文献

{"title":"Feasibility, acceptability, and preliminary efficacy of an LGBTQ+ inclusive communication skills training for multidisciplinary oncology healthcare providers","authors":"William E. Rosa ,&nbsp;Smita C. Banerjee ,&nbsp;Meghan McDarby ,&nbsp;Amanda Kastrinos ,&nbsp;Elizabeth Schofield ,&nbsp;Kimberly D. Acquaviva ,&nbsp;Koshy Alexander ,&nbsp;Patricia A. Parker","doi":"10.1016/j.pecinn.2026.100457","DOIUrl":"10.1016/j.pecinn.2026.100457","url":null,"abstract":"<div><h3>Objective</h3><div>To test the feasibility, acceptability, and preliminary efficacy of an LGBTQ+ inclusive communication skills training program.</div></div><div><h3>Methods</h3><div>Two modules focused on basic LGBTQ+ sensitivity and communication with LGBTQ+ patients' families were delivered for multidisciplinary oncology healthcare professionals (HCPs) during two training sessions. Feasibility was determined through recruitment rate and adherence. Acceptability was evaluated based on course evaluations. Pre−/post-training assessments included LGBTQ+ healthcare knowledge, beliefs towards LGBTQ+ people, and self-efficacy.</div></div><div><h3>Results</h3><div>Participants were predominantly female (83%) and included 1 nurse, 2 chaplains, 8 nurse practitioners, and 7 physicians. Of the 22 HCPs who initially expressed interest and registered for the training, a total of 18 (82%) participated. 89% of participants completed post-training evaluations within one week. The training was rated favorably; 80% of participants “agreed” or “strongly agreed” with 13 of 15 course evaluation items. From pre- to post-training, LGBTQ+ health knowledge increased for 6 of 14 items and self-efficacy improved significantly for all 9 items evaluated (total score, d = 1.32); beliefs did not change between assessment points.</div></div><div><h3>Conclusions</h3><div>An LGBTQ+ communication training for multidisciplinary oncology HCPs was feasible to deliver, acceptable to participants, and led to increases in LGBTQ+ healthcare knowledge and participant self-efficacy from pre- to post-training.</div></div><div><h3>Innovation</h3><div>LGBTQ+ inclusive communication training fills a crucial gap in HCP research, education, and practice, providing a novel experiential learning approach to mitigating health inequities for LGBTQ+ patients and their families.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"8 ","pages":"Article 100457"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring empathy in OSCEs: A comparison of student, standardized patient, and observer rating tools","authors":"A. Hepner ,&nbsp;B. Cerutti ,&nbsp;R. Lüchinger ,&nbsp;N. Junod Perron","doi":"10.1016/j.pecinn.2025.100452","DOIUrl":"10.1016/j.pecinn.2025.100452","url":null,"abstract":"<div><h3>Aim</h3><div>During objective structured clinical examinations (OSCEs), perceived empathy can be rated by medical students, simulated patients (SPs) or external observers. This study aimed to examine how different ratings of medical students' perceived empathy correlate with each other, as well as with measures of behavioral empathy using a standardized coding system.</div></div><div><h3>Methods</h3><div>Voluntary medical students who participated to a formative OSCE self-rated their empathy using a global empathy score. SPs and an external observer rated students' perceived empathy using the Jefferson Scale of Patient's Perceptions of Physician Empathy (JSPPPE-Patient; JSPPE-Observer) and global scores. The Verona Coding System (VR-CoDES) captured patients' emotions and students' responses (verbal empathy). Non-verbal behavior and five sub-behaviors were assessed via an ordinal scale (1–5). Associations were calculated using correlation analyses.</div></div><div><h3>Results</h3><div>56 medical students participated. There was no significant association between students' self-perceived empathy and other measures of perceived empathy. Global SPs' and observer's measures of perceived empathy as well as JSPPPE scales correlated with verbal empathy (VR-CoDES) (global ρ =0.27 <em>p</em> &lt; .05; respectively 0.56, <em>p</em> &lt; .01), JSPPPE-P (ρ = 0.34, p &lt; .05), and JSPPPE-O (ρ = 0.41, <em>p</em> &lt; .01). Non-verbal behavior correlated with global scores (SP ρ = 0.39 <em>p</em> &lt; .01; observer ρ = 0.66, p &lt; .01) and verbal empathy (VR-CoDES) (ρ = 0.38, p &lt; .01).</div></div><div><h3>Conclusion</h3><div>SPs and observers' ratings of perceived empathy using global scores as well as measurement of non-verbal behavior are valid ways to assess medical students' behavioral empathy.</div></div><div><h3>Innovation</h3><div>Standardized coding systems are useful to assess which measures of medical students' perceived empathy used in OSCEs best correlate with behavioral empathy.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"8 ","pages":"Article 100452"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to ‘Harnessing storytelling with medical students and community members to build curiosity and trust: A mixed methods evaluation of a pilot intervention’ [PEC Innovation 7 (2025) 100420]","authors":"Rebecca K. Rudel ,&nbsp;Nicole D. Kaufmann ,&nbsp;Shana A.B. Burrowes ,&nbsp;Cheryl Harding ,&nbsp;Cara Solomon ,&nbsp;Benjamin P. Linas ,&nbsp;Mari-Lynn Drainoni ,&nbsp;Katherine Gergen Barnett","doi":"10.1016/j.pecinn.2025.100447","DOIUrl":"10.1016/j.pecinn.2025.100447","url":null,"abstract":"","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"8 ","pages":"Article 100447"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a multimedia informed consent tool for fixed prosthodontic treatment: A cognitive theory-based approach to enhance patient understanding","authors":"Barbara Ndagire ,&nbsp;Sudeshni Naidoo ,&nbsp;John Barugahare ,&nbsp;Joseph Kibombo Balikuddembe ,&nbsp;Joaniter Nankabirwa ,&nbsp;Annet Nakiggudde ,&nbsp;Jovan Mugerwa ,&nbsp;Margaret Wandera ,&nbsp;Charles Mugisha Rwenyonyi","doi":"10.1016/j.pecinn.2025.100453","DOIUrl":"10.1016/j.pecinn.2025.100453","url":null,"abstract":"<div><h3>Background</h3><div>To develop and test a multimedia informed consent tool for fixed prosthodontic treatment among patients attending Makerere University Dental Hospital. The tool was designed to support verbal dentist-patient discussions, provide standardized treatment information, and enhance patient understanding in a low health literacy context.</div></div><div><h3>Methods</h3><div>The multimedia tool was developed using content-validated informed consent specifications for fixed prosthodontic treatment. Design and development of the tool were guided by principles of the cognitive theory of multimedia learning. The tool was tested among 20 patients to solicit feedback on acceptability and assess their understanding of fixed prosthodontic treatment after viewing it. It was also tested by 12 dentists to determine its acceptability and usability.</div></div><div><h3>Results</h3><div>The patients had a median age (range), 28.5 (18–52) years, and 65.5 % were male. Dentists had a mean (SD) age of 34.3 (9.67) years, and about one-third (33.3 %) had more than 5 years of work experience. Overall, both groups of participants found the tool to be user-friendly and provided comprehensive information. The majority (85.0 %) of patients had an adequate understanding of fixed prosthodontic treatment after viewing the tool. Suggestions for improvement included making the tool more accessible by placing it online and translating it into local languages.</div></div><div><h3>Conclusion</h3><div>The multimedia informed consent tool developed using the cognitive theory of learning was user-friendly, offered comprehensive treatment information, and aided patients' understanding of treatment information.</div></div><div><h3>Innovation</h3><div>Using a cognitive theory of learning-grounded development process, the study developed a multimedia informed consent tool to support verbal dentist-patient discussions in a low health literacy context.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"8 ","pages":"Article 100453"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metaphors in cancer care: Cultural insights from Spanish and Mexican physician–patient interactions","authors":"Dalia Magaña","doi":"10.1016/j.pecinn.2025.100449","DOIUrl":"10.1016/j.pecinn.2025.100449","url":null,"abstract":"<div><h3>Objectives</h3><div>This qualitative study examines the use of metaphors in Spanish-language oncology consultations, highlighting differences between Mexican Spanish and peninsular Spanish and exploring how metaphor use varies between physicians and patients.</div></div><div><h3>Methods</h3><div>Metaphors are common across languages and offer insight into how people conceptualize illness, treatment, and emotional experience. This study analyzed 50 audio-recorded, real-time oncology consultations—25 from Mexico and 25 from Spain—drawn from a corpus of naturally occurring physician–patient interactions. Using the Metaphor Identification Procedure, we systematically coded cancer-related metaphors, such as referring to treatment as a “path” or medication as something that “fights” the disease.</div></div><div><h3>Results</h3><div>Patients use slightly more metaphorical expressions than their physicians. Journey metaphors were the most frequently used across all groups. Battle metaphors were the second most common, though their use varied: doctors primarily used metaphors to explain treatment and motivate patients, while patients often used them to express emotional and physical vulnerability. Differences between varieties of Spanish also revealed culturally specific metaphorical language.</div></div><div><h3>Conclusions</h3><div>Metaphor use is a plain language strategy in oncology. Recognizing how metaphors are used in different Spanish-speaking contexts can enhance culturally and linguistically responsive care. Greater practitioner awareness of metaphorical language can improve patient understanding, reduce confusion, and foster more empathetic, person-centered communication.</div></div><div><h3>Practical value</h3><div>Incorporating culturally appropriate metaphors—tailored to specific language varieties and patient experiences—can support clearer communication, especially in oncology care. This study provides practical examples that can inform training for healthcare providers working with Spanish-speaking populations in the U.S., particularly those of Mexican origin.</div></div><div><h3>Innovation</h3><div>This study is innovative in highlighting cultural differences between two Spanish-speaking cultures, showing that while battle and journey metaphors are the most common, patients primarily use them to express pain, struggle, and vulnerability rather than resilience or strength.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"8 ","pages":"Article 100449"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of a questionnaire to assess primary health professional's knowledge of weight management counseling of adolescents in Indonesia","authors":"Fransisca Handy Agung ,&nbsp;Rini Sekartini ,&nbsp;Nani Cahyani Sudarsono ,&nbsp;Aryono Hendarto ,&nbsp;Retno Asti Werdhani ,&nbsp;Meita Dhamayanti ,&nbsp;Sri Retno Pudjiati ,&nbsp;Lathifah Hanum ,&nbsp;Khairunisa Mubarokah ,&nbsp;Astrid Setyannisa ,&nbsp;Affan Naufal ,&nbsp;Susan M. Sawyer","doi":"10.1016/j.pecinn.2026.100454","DOIUrl":"10.1016/j.pecinn.2026.100454","url":null,"abstract":"<div><h3>Objective</h3><div>This study set out to develop and validate a measure of primary health professionals' knowledge of counseling for weight management in adolescent patients in Indonesia.</div></div><div><h3>Methods</h3><div>A literature review informed the development of an initial set of items. These were refined following content and face validity testing from expert panels. Item Difficulty Index and Discrimination Index were used to perform item analysis, and reliability (Cronbach α) was tested with 67 primary care practitioners from 30 out of Indonesia's 34 provinces.</div></div><div><h3>Results</h3><div>An initial set of 114 questions was identified and arranged within three sections (healthy eating, physical activity, and behavioral change counseling skills). A series of validation processes resulted in 47 items with an acceptable Item Difficulty Index and Discrimination Index (0.2–0.9), and with sound internal consistency (Cronbach α coefficient 0.786).</div></div><div><h3>Innovation</h3><div>This measure lays a foundation to evaluate future interventions to improve health professionals' capacity to address obesity within clinical practice.</div></div><div><h3>Conclusion</h3><div>The developed questionnaire is a valid and reliable 47-item instrument to measure primary health professionals' knowledge of weight management counseling for adolescent patients.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"8 ","pages":"Article 100454"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating fluoride-related YouTube videos in Japan: A comparative analysis of understandability, actionability, and reliability between pro- and anti-fluoride content","authors":"Hikari Sophia Nagao ,&nbsp;Tsuyoshi Okuhara ,&nbsp;Emi Furukawa ,&nbsp;Hiroko Okada ,&nbsp;Takahiro Kiuchi","doi":"10.1016/j.pecinn.2026.100458","DOIUrl":"10.1016/j.pecinn.2026.100458","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to compare pro- and anti-fluoride Japanese YouTube videos on understandability, actionability, flow, reliability, and engagement.</div></div><div><h3>Methods</h3><div>Eighty-four videos found via a keyword search (pro = 49, anti = 18, other = 17) were analyzed. Quality was assessed using three validated tools—namely, Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-A/V), Global Quality Score (GQS), and modified DISCERN (mDISCERN). Engagement was measured as view rate.</div></div><div><h3>Results</h3><div>Pro-fluoride videos scored higher on reliability (mDISCERN 2.6 ± 1.0 vs 1.3 ± 0.6) and overall quality (GQS 2.5 ± 1.4 vs 1.0 ± 0.9; both <em>p</em> &lt; 0.001). No group differences emerged for understandability (58% versus 53%; <em>p</em> = 0.23) or actionability (60% versus 53%; <em>p</em> = 0.33). In the anti-fluoride group, a higher view rate positively correlated with understandability and GQS (ρ ≈ 0.53; p ≈ 0.03); no correlation was found for pro-videos. Only 27% of the videos satisfied the PEMAT-A/V understandability threshold.</div></div><div><h3>Conclusion</h3><div>Reliable, expert-made pro-fluoride videos attract modest audiences, whereas anti-fluoride videos can achieve a wide reach when they are easy to follow and well-structured. However, scientific accuracy alone cannot guarantee audience reach or engagement. Oral health authorities should design algorithm-sensitive, evidence-based videos that are clear and actionable.</div></div><div><h3>Innovation</h3><div>This is the first study to integrate the PEMAT-A/V, GQS, and mDISCERN with YouTube analytics for Japanese fluoride content, thereby providing a data-driven framework for algorithm-aware oral-health messaging.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"8 ","pages":"Article 100458"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First the relationship, then the technology: Healthcare professionals' perceptions on how digital health solutions impact the interaction with patients","authors":"S.J. Oudbier ,&nbsp;T.A. ten Cate ,&nbsp;S.A. Nurmohamed ,&nbsp;J.J. Meij ,&nbsp;E.M.A. Smets","doi":"10.1016/j.pecinn.2025.100448","DOIUrl":"10.1016/j.pecinn.2025.100448","url":null,"abstract":"<div><h3>Objective(s)</h3><div>Previous research has explored barriers and facilitators to digital health solutions (DHS) implementation, yet less is known on how DHS should be implemented to maintain patient interaction, and accommodate shifting responsibilities. This study explores health care professionals' (HCP) perspectives on patient-HCP interactions in DHS including video consultations, remote monitoring, and digital care platforms.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with twenty-six HCPs. Interviews were transcribed verbatim and thematically analysed by two researchers.</div></div><div><h3>Results</h3><div>Analysis revealed three overarching themes (the impact of DHS on the relationship, responsibility and anxiety), and ten subthemes. HCPs noted that DHS changed patient-HCP interactions, hindering relationship building. In regard to video consultations, interactional etiquette shifted, with the patient-HCP interaction transitioning towards more informal contact. Remote monitoring and digital care platforms increase patient responsibility, which can hinder communication, particularly when patients access medical results prior to consultations. Most HCPs emphasized that a trusting relationship should be established before introducing DHS to ensure responsible and effective use.</div></div><div><h3>Conclusion and innovation</h3><div>This study shifts the focus from how DHS can be implemented to how they should be implemented to sustain meaningful patient-HCP interactions. The findings challenge the assumption that DHS can readily replace or supplement traditional care, emphasizing that face-to-face encounters remain essential for patient engagement, relational continuity, and professional fulfilment of HCPs. DHS implementation should therefore follow the establishment of trust and be guided by a tailored, human-centered approach that accounts for individual differences in patients' health status and digital literacy.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"8 ","pages":"Article 100448"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Piloting short empathetic refutational interview modules in clinical training: Two UK studies","authors":"Dawn Holford ,&nbsp;Emma C. Anderson ,&nbsp;Harriet Fisher ,&nbsp;Virginia C. Gould ,&nbsp;Frederike Taubert ,&nbsp;Linda C. Karlsson ,&nbsp;Stephan Lewandowsky","doi":"10.1016/j.pecinn.2026.100455","DOIUrl":"10.1016/j.pecinn.2026.100455","url":null,"abstract":"<div><h3>Objective</h3><div>Our objective was to introduce training in the Empathetic Refutational Interview (ERI), a novel framework for improving vaccine conversations and addressing vaccine misconceptions, as continuing medical education to improve HCPs' vaccine communication confidence.</div></div><div><h3>Methods</h3><div>We introduced a short-form (60–90 min) ERI training module in two different UK clinical training settings: within a full-length immunisation training day (compared with a control communication module of the same length; Study 1) and as a stand-alone session (Study 2). We conducted a mixed-methods evaluation of training impact on participants' vaccine communication confidence.</div></div><div><h3>Results</h3><div>Participants were HCPs who attended the training (Study 1: <em>n</em> = 61; Study 2: <em>n</em> = 98). Participants significantly improved their vaccine conversations after training. Control group participants described improved knowledge of information sources as supporting their confidence, while ERI group participants described improved communication skills and techniques. Participants reported that the ERI provided a conversation structure.</div></div><div><h3>Conclusion</h3><div>Short training modules can improve HCPs' confidence in vaccine communication.</div></div><div><h3>Innovation</h3><div>Our research applied an innovative new framework for vaccine communication training and produced novel insight on how this evidence-based communication structure helps HCPs gain awareness of effective vaccine communication skills, not just knowledge around signposting patients to information.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"8 ","pages":"Article 100455"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The acceptability, adoption and feasibility of mobile health interventions for diabetes and hypertension care among Ghanaian healthcare workers","authors":"Pearl Aovare ,&nbsp;Erik Beune ,&nbsp;Felix P. Chilunga ,&nbsp;Nicolas Moens ,&nbsp;Eric P. Moll van Charante ,&nbsp;Charles Agyemang","doi":"10.1016/j.pecinn.2026.100456","DOIUrl":"10.1016/j.pecinn.2026.100456","url":null,"abstract":"<div><h3>Objectives</h3><div>The study explored healthcare workers' experiences using the AfyaPro Connected Care app and identified key enablers and barriers to its adoption for diabetes and hypertension care in Ghana. The study applied the Technology Acceptance Model (TAM) to examine how perceptions of usefulness and ease of use of the app influence adoption and to address the gap in evidence on mHealth uptake by frontline providers in low- and middle-income country (LMIC) health systems.</div></div><div><h3>Methods</h3><div>A qualitative study was conducted with 20 healthcare workers from two healthcare facilities. Semi-structured interviews, guided by the TAM, explored perceptions of the app's usefulness, ease of use, and behavioral intention. The framework was appropriate for examining individual and contextual drivers of technology adoption in resource-constrained healthcare settings. Interviews were transcribed verbatim and analysed thematically.</div></div><div><h3>Results</h3><div>Participants reported positive experiences with the app, noting reduced administrative burden, workflow integration, stronger patient-provider interaction and improved continuity of follow-up. The app enhanced access to specialist care, supported self-monitoring of blood pressure and glucose, and boosted confidence through its intuitive design and structured training. However, challenges persisted, including unstable power and internet connectivity, increased data entry workload, limited patient access and digital literacy, and restricted roles for junior staff. Participants recommended clearer roles, regular supervision, refresher training, and decision-support tools to improve sustainability and equitable adoption.</div></div><div><h3>Innovation</h3><div>This study adopts a user-centered and context-sensitive approach based on provider experiences. It shows how mHealth tools can be fitted into Ghana's healthcare system, where challenges like limited infrastructure and digital literacy affect use. Innovation is seen as adapting tools and systems through digital literacy training, decision-support in provider workflows, and blended care models, helping to build a fairer and more sustainable health system.</div></div><div><h3>Conclusions</h3><div>Healthcare workers found the mHealth app feasible and acceptable. The findings highlight the potential of digital tools to improve chronic disease care in resource-limited settings. The study demonstrates how contextual factors in LMIC settings reshape key TAM constructs, with clear implications for mHealth policy, scale-up strategies, and refinement of technology adoption theory.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"8 ","pages":"Article 100456"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146076784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}