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Response bias could factor into the results if the subjects are stakeholders in the study (Carswell et al. [2005]).
Local telehealth champions played an important role in engaging multiple stakeholders in the study.
This mixed methods review (Gough, Oliver, & Thomas, 2012) aimed to capture the complexity of these preventive interventions by drawing on a variety of sources and engaging a wide range of stakeholders in the study.
Involving a diverse range of stakeholders in the study was invaluable in enabling the researchers to gather different points of view with regards to an identified problem and to reveal conflicts between various stakeholders [ 17].
We obtained National Health Service (NHS) research ethics committee (reference number: 10/H1302/66) and local research governance approvals for a process of consenting and engaging staff and other stakeholders in the study.
They suggested regular distribution of news letters to district assembly members or government departmental heads and a stronger collaboration with the local information service department as ways to enhance engagement with all stakeholders in the study area.
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This was clearly articulated by many of the stakeholders in this study, especially the users.
Finally, although the involvement of different stakeholders in the qualitative study added value to the study in that extra input could be generated instead of involving only one target group, the number of the representatives of companies was low.
A further concern, expressed by all stakeholders in this study, was the usability of the devices; an issue which has previously been reported as a barrier to self-management by health professionals [ 30].
Our methodology was successful and we engaged a diverse group of stakeholders in the qualitative study, Delphi survey and prioritisation meeting.
While it is clear that public health stakeholders in this study trust the public health system, two-way communications introduce the risk of violating that trust if not used carefully.
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