{"id":"https://openalex.org/W7223415218","doi":"https://doi.org/10.2196/85941","title":"Barriers and Facilitators in the Implementation of Digital, Blended, and Analog Evidence-Based Osteoarthritis Care: International Qualitative Expert Interview Study","display_name":"Barriers and Facilitators in the Implementation of Digital, Blended, and Analog Evidence-Based Osteoarthritis Care: International Qualitative Expert Interview Study","publication_year":2026,"publication_date":"2026-10-23","ids":{"openalex":"https://openalex.org/W7223415218","doi":"https://doi.org/10.2196/85941","pmid":"https://pubmed.ncbi.nlm.nih.gov/42913401","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13693861"},"language":"en","primary_location":{"id":"doi:10.2196/85941","doi":"https://doi.org/10.2196/85941","is_oa":true,"landing_page_url":"https://doi.org/10.2196/85941","pdf_url":null,"source":{"id":"https://openalex.org/S4210191665","display_name":"JMIR Rehabilitation and Assistive Technologies","issn_l":"2369-2529","issn":["2369-2529"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-2","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320608","host_organization_name":"JMIR Publications","host_organization_lineage":["https://openalex.org/P4310320608"],"host_organization_lineage_names":["JMIR Publications"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR Rehabilitation and Assistive Technologies","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.2196/85941","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5035974792","display_name":"Theresa Sophie Busse","orcid":"https://orcid.org/0000-0002-1821-749X","observed_orcids":["https://orcid.org/0000-0002-1821-749X"]},"institutions":[{"id":"https://openalex.org/I155976169","display_name":"Witten/Herdecke University","ror":"https://ror.org/00yq55g44","country_code":"DE","type":"education","lineage":["https://openalex.org/I155976169"]},{"id":"https://openalex.org/I904495901","display_name":"Ruhr University Bochum","ror":"https://ror.org/04tsk2644","country_code":"DE","type":"education","lineage":["https://openalex.org/I904495901"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Theresa Sophie Busse","raw_affiliation_strings":["Digital Health, Department of Human Medicine, Faculty of Health, Witten/Herdecke University, Alfred-Herrhausen-Str. 50, Witten, 58455, Germany, 0049 2302 926 ext 708","Institute of General Practice and Family Medicine (AM RUB), Medical Faculty, Ruhr University Bochum, Bochum, Germany"],"raw_orcid":"https://orcid.org/0000-0002-1821-749X","affiliations":[{"raw_affiliation_string":"Digital Health, Department of Human Medicine, Faculty of Health, Witten/Herdecke University, Alfred-Herrhausen-Str. 50, Witten, 58455, Germany, 0049 2302 926 ext 708","institution_ids":["https://openalex.org/I155976169"]},{"raw_affiliation_string":"Institute of General Practice and Family Medicine (AM RUB), Medical Faculty, Ruhr University Bochum, Bochum, Germany","institution_ids":["https://openalex.org/I904495901"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007642853","display_name":"Julia Nitsche","orcid":"https://orcid.org/0000-0003-3443-6649","observed_orcids":["https://orcid.org/0000-0003-3443-6649"]},"institutions":[{"id":"https://openalex.org/I155976169","display_name":"Witten/Herdecke University","ror":"https://ror.org/00yq55g44","country_code":"DE","type":"education","lineage":["https://openalex.org/I155976169"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Julia Nitsche","raw_affiliation_strings":["Didactics and Educational Research in Health Science, Department of Human Medicine, Faculty of Health, Witten/Herdecke University, Witten, Germany"],"raw_orcid":"https://orcid.org/0000-0003-3443-6649","affiliations":[{"raw_affiliation_string":"Didactics and Educational Research in Health Science, Department of Human Medicine, Faculty of Health, Witten/Herdecke University, Witten, Germany","institution_ids":["https://openalex.org/I155976169"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025162766","display_name":"Ina Otte","orcid":"https://orcid.org/0000-0003-0280-0899","observed_orcids":["https://orcid.org/0000-0003-0280-0899"]},"institutions":[{"id":"https://openalex.org/I904495901","display_name":"Ruhr University Bochum","ror":"https://ror.org/04tsk2644","country_code":"DE","type":"education","lineage":["https://openalex.org/I904495901"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Ina Carola Otte","raw_affiliation_strings":["Health Services Research, Institute for Diversity Medicine, Medical Faculty, Ruhr University Bochum, Bochum, Germany","Institute of General Practice and Family Medicine (AM RUB), Medical Faculty, Ruhr University Bochum, Bochum, Germany"],"raw_orcid":"https://orcid.org/0000-0003-0280-0899","affiliations":[{"raw_affiliation_string":"Health Services Research, Institute for Diversity Medicine, Medical Faculty, Ruhr University Bochum, Bochum, Germany","institution_ids":["https://openalex.org/I904495901"]},{"raw_affiliation_string":"Institute of General Practice and Family Medicine (AM RUB), Medical Faculty, Ruhr University Bochum, Bochum, Germany","institution_ids":["https://openalex.org/I904495901"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014062702","display_name":"Nino Chikhradze","orcid":"https://orcid.org/0000-0002-8549-629X","observed_orcids":["https://orcid.org/0000-0002-8549-629X"]},"institutions":[{"id":"https://openalex.org/I904495901","display_name":"Ruhr University Bochum","ror":"https://ror.org/04tsk2644","country_code":"DE","type":"education","lineage":["https://openalex.org/I904495901"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Nino Chikhradze","raw_affiliation_strings":["Institute for Diversity Medicine, Medical Faculty, Ruhr University Bochum, Bochum, Germany","Institute of General Practice and Family Medicine (AM RUB), Medical Faculty, Ruhr University Bochum, Bochum, Germany"],"raw_orcid":"https://orcid.org/0000-0002-8549-629X","affiliations":[{"raw_affiliation_string":"Institute for Diversity Medicine, Medical Faculty, Ruhr University Bochum, Bochum, Germany","institution_ids":["https://openalex.org/I904495901"]},{"raw_affiliation_string":"Institute of General Practice and Family Medicine (AM RUB), Medical Faculty, Ruhr University Bochum, Bochum, Germany","institution_ids":["https://openalex.org/I904495901"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115568738","display_name":"Barbara J\u00f6mann","orcid":"https://orcid.org/0009-0006-9852-4217","observed_orcids":["https://orcid.org/0009-0006-9852-4217"]},"institutions":[{"id":"https://openalex.org/I904495901","display_name":"Ruhr University Bochum","ror":"https://ror.org/04tsk2644","country_code":"DE","type":"education","lineage":["https://openalex.org/I904495901"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Barbara J\u00f6mann","raw_affiliation_strings":["Institute of General Practice and Family Medicine (AM RUB), Medical Faculty, Ruhr University Bochum, Bochum, Germany"],"raw_orcid":"https://orcid.org/0009-0006-9852-4217","affiliations":[{"raw_affiliation_string":"Institute of General Practice and Family Medicine (AM RUB), Medical Faculty, Ruhr University Bochum, Bochum, Germany","institution_ids":["https://openalex.org/I904495901"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032382453","display_name":"Horst Christian Vollmar","orcid":"https://orcid.org/0000-0002-0117-7188","observed_orcids":["https://orcid.org/0000-0002-0117-7188"]},"institutions":[{"id":"https://openalex.org/I904495901","display_name":"Ruhr University Bochum","ror":"https://ror.org/04tsk2644","country_code":"DE","type":"education","lineage":["https://openalex.org/I904495901"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Horst Christian Vollmar","raw_affiliation_strings":["Institute of General Practice and Family Medicine (AM RUB), Medical Faculty, Ruhr University Bochum, Bochum, Germany"],"raw_orcid":"https://orcid.org/0000-0002-0117-7188","affiliations":[{"raw_affiliation_string":"Institute of General Practice and Family Medicine (AM RUB), Medical Faculty, Ruhr University Bochum, Bochum, Germany","institution_ids":["https://openalex.org/I904495901"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5093947697","display_name":"Jennifer Bosompem","orcid":"https://orcid.org/0000-0002-1349-9635","observed_orcids":["https://orcid.org/0000-0002-1349-9635"]},"institutions":[{"id":"https://openalex.org/I904495901","display_name":"Ruhr University Bochum","ror":"https://ror.org/04tsk2644","country_code":"DE","type":"education","lineage":["https://openalex.org/I904495901"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Jennifer Bosompem","raw_affiliation_strings":["Institute of General Practice and Family Medicine (AM RUB), Medical Faculty, Ruhr University Bochum, Bochum, Germany"],"raw_orcid":"https://orcid.org/0000-0002-1349-9635","affiliations":[{"raw_affiliation_string":"Institute of General Practice and Family Medicine (AM RUB), Medical Faculty, Ruhr University Bochum, Bochum, Germany","institution_ids":["https://openalex.org/I904495901"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5035974792"],"corresponding_institution_ids":["https://openalex.org/I155976169","https://openalex.org/I904495901"],"apc_list":{"value":1750,"currency":"USD","value_usd":1750},"apc_paid":{"value":1750,"currency":"USD","value_usd":1750},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.8243517,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":"e85941","last_page":"e85941"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11744","display_name":"Health Sciences Research and Education","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/osteoarthritis","display_name":"osteoarthritis","score":0.925000011920929},{"id":"https://openalex.org/keywords/implementation-barriers-and-facilitators","display_name":"implementation barriers and facilitators","score":0.8970000147819519},{"id":"https://openalex.org/keywords/digital-health","display_name":"digital health","score":0.6869999766349792},{"id":"https://openalex.org/keywords/blended-care","display_name":"blended care","score":0.9900000095367432},{"id":"https://openalex.org/keywords/political-support","display_name":"political support","score":0.8100000023841858},{"id":"https://openalex.org/keywords/organizational-complexity","display_name":"organizational complexity","score":0.8560000061988831},{"id":"https://openalex.org/keywords/leadership","display_name":"leadership","score":0.6269999742507935},{"id":"https://openalex.org/keywords/interdisciplinary-collaboration","display_name":"interdisciplinary collaboration","score":0.9160000085830688},{"id":"https://openalex.org/keywords/stakeholder-engagement","display_name":"stakeholder engagement","score":0.8650000095367432},{"id":"https://openalex.org/keywords/implementation-stages","display_name":"implementation stages","score":0.7329999804496765},{"id":"https://openalex.org/keywords/international-cooperation","display_name":"international cooperation","score":0.4909999966621399},{"id":"https://openalex.org/keywords/program-adaptation","display_name":"program adaptation","score":0.3659999966621399}],"concepts":[{"id":"https://openalex.org/C2779703844","wikidata":"https://www.wikidata.org/wiki/Q760125","display_name":"Reimbursement","level":3,"score":0.578499972820282},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5455999970436096},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5291000008583069},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4970000088214874},{"id":"https://openalex.org/C201305675","wikidata":"https://www.wikidata.org/wiki/Q852998","display_name":"Stakeholder","level":2,"score":0.46880000829696655},{"id":"https://openalex.org/C162446236","wikidata":"https://www.wikidata.org/wiki/Q653137","display_name":"Content analysis","level":2,"score":0.4253000020980835},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.413100004196167},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3774999976158142},{"id":"https://openalex.org/C66204764","wikidata":"https://www.wikidata.org/wiki/Q219416","display_name":"Sustainability","level":2,"score":0.36480000615119934},{"id":"https://openalex.org/C72497813","wikidata":"https://www.wikidata.org/wiki/Q110051588","display_name":"Implementation research","level":3,"score":0.3644999861717224},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.35350000858306885},{"id":"https://openalex.org/C5395021","wikidata":"https://www.wikidata.org/wiki/Q1061410","display_name":"Program evaluation","level":2,"score":0.33379998803138733},{"id":"https://openalex.org/C60641444","wikidata":"https://www.wikidata.org/wiki/Q841602","display_name":"Delphi method","level":2,"score":0.32749998569488525},{"id":"https://openalex.org/C139807058","wikidata":"https://www.wikidata.org/wiki/Q352374","display_name":"Adaptation (eye)","level":2,"score":0.3192000091075897},{"id":"https://openalex.org/C80245801","wikidata":"https://www.wikidata.org/wiki/Q1477475","display_name":"Semi-structured interview","level":3,"score":0.3190000057220459},{"id":"https://openalex.org/C2776014549","wikidata":"https://www.wikidata.org/wiki/Q3050847","display_name":"Consolidation (business)","level":2,"score":0.3179999887943268},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.31209999322891235},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.3061000108718872},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.30300000309944153},{"id":"https://openalex.org/C100521375","wikidata":"https://www.wikidata.org/wiki/Q2015382","display_name":"Competence (human resources)","level":2,"score":0.2937999963760376},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2825999855995178},{"id":"https://openalex.org/C164065428","wikidata":"https://www.wikidata.org/wiki/Q1201929","display_name":"Core competency","level":2,"score":0.26570001244544983},{"id":"https://openalex.org/C2780984029","wikidata":"https://www.wikidata.org/wiki/Q2930198","display_name":"Stakeholder engagement","level":2,"score":0.26429998874664307},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.26420000195503235},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.25279998779296875}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.2196/85941","doi":"https://doi.org/10.2196/85941","is_oa":true,"landing_page_url":"https://doi.org/10.2196/85941","pdf_url":null,"source":{"id":"https://openalex.org/S4210191665","display_name":"JMIR Rehabilitation and Assistive Technologies","issn_l":"2369-2529","issn":["2369-2529"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-2","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320608","host_organization_name":"JMIR Publications","host_organization_lineage":["https://openalex.org/P4310320608"],"host_organization_lineage_names":["JMIR Publications"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR Rehabilitation and Assistive Technologies","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13693861","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13693861/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13693861/pdf/rehab-v13-e85941.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR Rehabil Assist Technol","raw_type":"Text"},{"id":"pmid:42913401","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42913401","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR rehabilitation and assistive technologies","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:7e67f4dcc46843029a5c9b63f1c260e3","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/7e67f4dcc46843029a5c9b63f1c260e3","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"JMIR Rehabilitation and Assistive Technologies, Vol 13, Pp e85941-e85941 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.2196/85941","doi":"https://doi.org/10.2196/85941","is_oa":true,"landing_page_url":"https://doi.org/10.2196/85941","pdf_url":null,"source":{"id":"https://openalex.org/S4210191665","display_name":"JMIR Rehabilitation and Assistive Technologies","issn_l":"2369-2529","issn":["2369-2529"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-2","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320608","host_organization_name":"JMIR Publications","host_organization_lineage":["https://openalex.org/P4310320608"],"host_organization_lineage_names":["JMIR Publications"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR Rehabilitation and Assistive Technologies","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223415218.pdf","grobid_xml":"https://content.openalex.org/works/W7223415218.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W1947261881","https://openalex.org/W1978447505","https://openalex.org/W2020155291","https://openalex.org/W2096018352","https://openalex.org/W2101270539","https://openalex.org/W2120079020","https://openalex.org/W2138664283","https://openalex.org/W2158985563","https://openalex.org/W2414769199","https://openalex.org/W2586228238","https://openalex.org/W2779904079","https://openalex.org/W2793729365","https://openalex.org/W2883396054","https://openalex.org/W2979483631","https://openalex.org/W4307846395","https://openalex.org/W4376649173","https://openalex.org/W7133337621"],"related_works":["https://openalex.org/W7017278562","https://openalex.org/W3199182534","https://openalex.org/W4394928250","https://openalex.org/W2100408009","https://openalex.org/W6927819601","https://openalex.org/W7133337621","https://openalex.org/W4394928691","https://openalex.org/W2757085494","https://openalex.org/W4413431029","https://openalex.org/W3004142553"],"abstract_inverted_index":{"Background:":[0],"Evidence-based":[1],"nonsurgical":[2,65,225],"osteoarthritis":[3],"(OA)":[4],"care":[5,26,31,67,76,85,115,137,188,227,255],"programs":[6,116,228],"improve":[7,273],"patient":[8],"outcomes":[9],"and":[10,46,80,83,96,129,135,152,162,170,190,210,236,248,268,276],"may":[11,250],"reduce":[12],"the":[13,61,191,206,214],"burden":[14],"of":[15,63,132,193,223],"disease.":[16],"Despite":[17],"their":[18,21],"demonstrated":[19],"effectiveness,":[20],"implementation":[22,39,62,72,78,92,202,218,222,238,242,252,262],"into":[23],"routine":[24],"health":[25,30,75,187,254],"remains":[27],"limited":[28,160],"across":[29,73,118,205,240,253],"systems.":[32],"Understanding":[33],"factors":[34,56,271],"that":[35,57,201],"facilitate":[36,58,251],"or":[37,59,172],"hinder":[38,60],"is":[40],"essential":[41],"to":[42,54,87,148,185,272],"support":[43],"broader":[44],"adoption":[45,275],"long-term":[47,274],"sustainability":[48],"worldwide.":[49],"Objective:":[50],"This":[51],"study":[52,106],"aimed":[53],"explore":[55],"evidence-based":[64,113,224],"OA":[66,114,226],"programs.":[68],"Specifically,":[69],"it":[70],"examined":[71],"different":[74,94],"settings,":[77],"phases,":[79,212],"analog,":[81,133],"digital,":[82,134],"blended":[84,136],"models":[86],"identify":[88],"transferable":[89],"insights":[90],"for":[91,216],"in":[93,112],"national":[95],"regional":[97],"contexts.":[98],"Methods:":[99],"We":[100],"conducted":[101],"a":[102],"qualitative":[103,144],"expert":[104],"interview":[105],"with":[107,125],"12":[108],"international":[109,195,245],"experts":[110],"involved":[111],"implemented":[117],"6":[119],"countries.":[120],"Semistructured":[121],"interviews":[122],"explored":[123],"experiences":[124],"program":[126,196,246],"development,":[127],"implementation,":[128,209],"further":[130,199],"development":[131,259],"models.":[138],"Interview":[139],"transcripts":[140],"were":[141],"analyzed":[142],"using":[143,150],"content":[145],"analysis":[146],"according":[147],"Kuckartz,":[149],"deductive":[151],"inductive":[153],"category":[154],"development.":[155],"Results:":[156],"Key":[157],"barriers":[158],"included":[159],"funding":[161],"reimbursement":[163],"structures,":[164],"insufficient":[165],"political":[166],"support,":[167],"organizational":[168],"complexity,":[169],"legal":[171],"regulatory":[173],"requirements.":[174],"Important":[175],"facilitators":[176],"comprised":[177],"strong":[178],"leadership,":[179],"interdisciplinary":[180],"collaboration,":[181],"structured":[182,237],"communication,":[183],"adaptation":[184],"local":[186,269],"contexts,":[189],"use":[192],"existing":[194],"structures.":[197],"Participants":[198],"emphasized":[200],"requirements":[203,267],"varied":[204],"preparation,":[207],"initial":[208],"consolidation":[211],"highlighting":[213],"need":[215],"phase-specific":[217,266],"strategies.":[219],"Conclusions:":[220],"Successful":[221],"requires":[229],"sustainable":[230],"funding,":[231],"stakeholder":[232],"engagement,":[233],"context-specific":[234],"adaptation,":[235],"planning":[239],"all":[241],"phases.":[243],"Existing":[244],"structures":[247],"collaboration":[249],"systems":[256],"while":[257],"reducing":[258],"efforts.":[260],"Future":[261],"initiatives":[263],"should":[264],"consider":[265],"contextual":[270],"sustainability.":[277]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-24T00:00:00"}
