J Med Internet Res. 2017 Nov; 19(11): e367. Doi: 10.2196/jmir.8775
- The nonadoption, abandonment, scale-up, spread, and sustainability (NASSS) diagram and framework is an evidence-based, theory-informed, but also accessible and usable framework. The aim is to enable those seeking to design, develop, implement, scale up, spread, and sustain technology-supported health or social care programs to identify and help address the key challenges in different domains and the interactions between them.
- Tested and developed using 6 technology-supported programs for up to 3 years -video outpatient consultations, global positioning system tracking for cognitive impairment, pendant alarm services, remote biomarker monitoring for heart failure, care organizing software, and integrated case management via data sharing.
NASSS framework for considering influences on the adoption, nonadoption, abandonment, spread, scale-up, and sustainability of patient-facing health and care technologies. Figure 2
