Assessing the acceptability of technological health innovations in sub-Saharan Africa: a scoping review and a best fit framework synthesis

Acceptability is a key concept used to analyze the introduction of a health innovation in a specific setting. However, there seems to be a lack of clarity in this notion, both conceptually and practically. In low and middle-income countries, programs to support the diffusion of new technological too...

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Bibliographic Details
Published in:BMC health services research Vol. 23; no. 1; pp. 930 - 15
Main Authors: Louart, Sarah, Hedible, Gildas Boris, Ridde, Valéry
Format: Journal Article
Language:English
Published: London BioMed Central 31.08.2023
BioMed Central Ltd
Springer Nature B.V
BMC
Series:BMC Health Services Research
Subjects:
Acceptability
Adaptation
Africa South of the Sahara
Attitude of Health Personnel
Best fit framework synthesis
Biomedical Technology
Caregivers
Economics and Finance
Health
Health Administration
Health care industry
Health Informatics
Health services
Humanities and Social Sciences
Humans
Humans Inventions
Innovation
Innovations
Inventions
Keywords
Medicine
Medicine & Public Health
Nursing Research
Physician-Patient Relations
Public Health
Scoping review
Software
Sub-Saharan Africa
Technological change
Technology application
Africa South of the Sahara
Sub-Saharan Africa
Africa
Scoping review
Innovation
Best fit framework synthesis
Health
Acceptability
Sub-Saharan Africa
ISSN:1472-6963, 1472-6963
Online Access:Get full text
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Summary:Acceptability is a key concept used to analyze the introduction of a health innovation in a specific setting. However, there seems to be a lack of clarity in this notion, both conceptually and practically. In low and middle-income countries, programs to support the diffusion of new technological tools are multiplying. They face challenges and difficulties that need to be understood with an in-depth analysis of the acceptability of these innovations. We performed a scoping review to explore the theories, methods and conceptual frameworks that have been used to measure and understand the acceptability of technological health innovations in sub-Saharan Africa. The review confirmed the lack of common definitions, conceptualizations and practical tools addressing the acceptability of health innovations. To synthesize and combine evidence, both theoretically and empirically, we then used the "best fit framework synthesis" method. Based on five conceptual and theoretical frameworks from scientific literature and evidence from 33 empirical studies, we built a conceptual framework in order to understand the acceptability of technological health innovations. This framework comprises 6 determinants (compatibility, social influence, personal emotions, perceived disadvantages, perceived advantages and perceived complexity) and two moderating factors (intervention and context). This knowledge synthesis work has also enabled us to propose a chronology of the different stages of acceptability.
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PMCID: PMC10469465
ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-023-09897-4