What the study found
The SMILe integrated care model for allogeneic stem cell transplantation was adapted for a Belgian local setting. The adapted model kept the main eHealth-based symptom monitoring and nurse-led support structure while changing some elements to fit local technical, legal, and financial conditions.
Why the authors say this matters
The authors conclude that real-world adaptation needs to balance core intervention components with the constraints of the local context. They also state that structured adaptation and strategic implementation planning were essential to support long-term sustainability.
What the researchers tested
The researchers adapted the SMILe integrated care model, which combines a patient app for home symptom registration with monitoring, self-management support, and care coordination by an advanced practice nurse team. They used prior context analysis, followed ADAPT guidelines, involved patients, informal caregivers, and local clinical, IT, and legal teams, documented adaptations with FRAME, and selected implementation strategies using the ERIC taxonomy.
What worked and what didn't
Key required adaptations included using the local electronic eHealth platform to improve usability and allow multiple providers to access patient-documented data, and reducing advanced practice nurse intervention sessions from 12 to 6 during the first year after alloSCT because of financial constraints. Minor adaptations included revising content and simplifying language. The abstract does not report outcome data on patient results or implementation success.
What to keep in mind
This summary describes an adaptation project, not a test of clinical effectiveness. The available abstract does not describe limitations in detail beyond noting technical, regulatory, and resource constraints in the local setting.
Key points
- The SMILe integrated care model was adapted for a Belgian setting.
- The model combines a patient app, symptom monitoring, self-management support, and nurse care coordination.
- A local electronic eHealth platform was used to improve usability and multi-provider access to data.
- Advanced practice nurse sessions were reduced from 12 to 6 in the first year after alloSCT because of financial constraints.
- The authors say structured adaptation and implementation planning were needed for long-term sustainability.
Disclosure
- Research title:
- SMILe eHealth care model was adapted for local use
- Publication date:
- 2026-03-07
- OpenAlex record:
- View
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