A Flexible Toolkit for Evaluating Person-Centred Digital Health and Wellness at Scale

Marilyn Mcgee-lennon, Matt-mouley Bouamrane, Eleanor Grieve, Catherine A. O’donnell, Siobhan O’connor, Ruth Agbakoba, Alison M. Devlin, Sarah Barry, Annemieke Bikker, Tracy Finch, Frances S. Mair

Research output: Chapter in Book/Report/Conference proceedingOther chapter contribution


The Delivering Assisted Living Lifestyles at Scale (dallas) program was a large-scale, nationwide deployment of digital health and wellbeing products and services in the UK. Telehealth, telecare, mobile apps, personal health records, and assisted living technology were implemented by four large multi-stakeholder consortia and a multidimensional evaluation was carried out across the lifecycle from examining co-design and redesign of services through to rolling out services via statutory, private and consumer routes. A flexible toolkit of descriptive, process and outcome measures was developed and iteratively refined throughout the program. This approach enabled a longitudinal mixed-methods evaluation, underpinned by a robust social theory of implementation called ‘Normalization Process Theory’. There remains uncertainty about the best approaches to real world digital health evaluation. This program provided a unique opportunity to develop the knowledge base and toolkit of qualitative and quantitative methods necessary to evaluate person-centered digital health technologies deployed at scale.
Original languageEnglish
Title of host publicationAdvances in Human Factors and Ergonomics in Healthcare
PublisherSpringer, Cham
Number of pages14
ISBN (Electronic)978-3-319-41652-6
ISBN (Print)978-3-319-41651-9
Publication statusPublished - 2 Jul 2016

Publication series

NameAdvances in Human Factors and Ergonomics in Healthcare
ISSN (Print)2194-5357
ISSN (Electronic)2194-5365


  • health informatics
  • eHealth
  • digital health
  • telemedicine
  • implementation
  • evaluation


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