Factors Influencing the Adoption of Magnetic Resonance-Guided High-Intensity Focused Ultrasound for Painful Bone Metastases in Europe, A Group Concept Mapping Study
Simões Corrêa Galendi, Julia; Siefen, Ann Cathrine; Moretti, Debora M.; Yeo, Sin Yuin; Grüll, Holger; Bratke, Grischa; Morganti, Alessio Giuseppe; Bazzocchi, Alberto; Gasperini, Chiara; De Felice, Francesca; Blanco Sequeiros, Roberto; Huhtala, Mira; Nijholt, Ingrid M.; Boomsma, Martijn F.; Bos, Clemens; Verkooijen, Helena M.; Müller, Dirk; Stock, Stephanie
(2023) International journal of environmental research and public health, volume 20, issue 2
(Article)
Abstract
Magnetic resonance imaging-guided high-intensity focused ultrasound (MR-HIFU) is an innovative treatment for patients with painful bone metastases. The adoption of MR-HIFU will be influenced by several factors beyond its effectiveness. To identify contextual factors affecting the adoption of MR-HIFU, we conducted a group concept mapping (GCM) study in four European
... read more
countries. The GCM was conducted in two phases. First, the participants brainstormed statements guided by the focus prompt “One factor that may influence the uptake of MR-HIFU in clinical practice is..”. Second, the participants sorted statements into categories and rated the statements according to their importance and changeability. To generate a concept map, multidimensional scaling and cluster analysis were conducted, and average ratings for each (cluster of) factors were calculated. Forty-five participants contributed to phase I and/or II (56% overall participation rate). The resulting concept map comprises 49 factors, organized in 12 clusters: “competitive treatments”, “physicians’ attitudes”, “alignment of resources”, “logistics and workflow”, “technical disadvantages”, “radiotherapy as first-line therapy”, “aggregating knowledge and improving awareness”, “clinical effectiveness”, “patients’ preferences”, “reimbursement”, “cost-effectiveness” and “hospital costs”. The factors identified echo those from the literature, but their relevance and interrelationship are case-specific. Besides evidence on clinical effectiveness, contextual factors from 10 other clusters should be addressed to support adoption of MR-HIFU.
show less
Download/Full Text
Keywords: bone metastases, cancer pain, diffusion of innovation, group concept mapping, implementation science, MR-HIFU, Pollution, Public Health, Environmental and Occupational Health, Health, Toxicology and Mutagenesis
ISSN: 1661-7827
Publisher: Multidisciplinary Digital Publishing Institute (MDPI)
Note: Funding Information: Sin Yuin Yeo has a part-time position with Profound Medical GmbH, outside of the submitted work. Alessio Morganti reports grants from Elekta, IGEA, Astellas, Alfasigma, Bayer, Thema Sinergie, Janssen, outside the submitted work. Funding Information: This project has received funding from the European Union’s horizon 2020 research and innovation programme under grant agreement No 825859. Publisher Copyright: © 2023 by the authors.
(Peer reviewed)