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. 2022 Jan 27;24(1):e32215. doi: 10.2196/32215

Table 4.

A comparison of elements identified in literature with the nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability (NASSS) framework domains. (n=7).

Condition Technology Value proposition Adopters Organization Wider system Embedding and adaptation over time
Original NASSS subdomains

  • Nature of conditiona (n=0)

  • Comorbidities, sociocultural influences (n=0)

  • Material and features of technology (n=7)

  • Types of data generated (n=7)

  • Knowledge needed to use (n=5)

  • Technology supply model (n=2)

  • Supply-side value (to developer; n=2)

  • Demand-side value (to patient; n=2)

  • Staff (role and identity; n=6)

  • Patient (simple vs complex input; n=3)

  • Carer (available, nature of input; n=2)

  • Capacity to innovate (n=1)

  • Readiness for change (n=2)

  • Nature of adoption or funding decision (n=1)

  • Extent of change to new routines (n=1)

  • Work needed to implement change (n=2)

  • Political or policy (n=2)

  • Regulatory or legal (n=5)

  • Professional (n=2)

  • Sociocultural (n=2)

  • Scope for adaptation over time (n=1)

  • Organizational resilience (n=1)
New NASSS subdomains

  • Not identified

  • Types of data inputted (n=3)

  • Dependence on other local processes and practices (n=2)

  • Evaluation of effectiveness (n=3)

  • Demand-side value (to population; n=1)

  • Shared decision-making (n=3)

  • Not identified

  • Ethics (population equity or discrimination; n=2)

  • Role of human oversightb (n=3)

  • Not identified

aThese elements were not explicitly mentioned in the framework or list of elements, but they were considered in the manuscript (nature of condition, 6 articles; comorbidities and sociocultural influences, 2 articles).

bCan be considered across multiple domains.