Exploring organizational readiness for the early adoption of a digital obesity prevention program in Swedish child healthcare: an observational prospective study.
7 affiliations
- 1Department of Health, Medicine, and Caring Sciences, Linköping University, Linköping, Sweden. [email protected].
- 2Department of Health, Medicine, and Caring Sciences, Linköping University, Linköping, Sweden.
- 3Department of Medicine, Karolinska Institutet, Huddinge, Sweden.
- 4Department of Health and Caring Sciences, Linnaeus University, Kalmar, Sweden.
- 5Department of Leadership, Demand and Control, Swedish Defence University, Karlstad, Sweden.
- 6Institute of Social Sciences, Södertörn University, Stockholm, Sweden.
- 7School of Health and Welfare, Halmstad University, Halmstad, Sweden.
Abstract
Background
Despite the emphasis on organizational readiness in implementation science, there is limited empirical data supporting its role in implementation practice. This study aimed to (a) assess dimensions of organizational readiness at implementation start of an evidence-based digital health promotion and obesity prevention program in Swedish child healthcare (MINISTOP) and (b) investigate the associations between assessed readiness dimensions and the adoption of MINISTOP.Methods
In this observational prospective study, all 135 child healthcare nurses from 48 Swedish child healthcare centers involved in the large-scale implementation of MINISTOP in 2023 were invited to participate. Organizational readiness, conceptualized as a multidimensional construct reflecting individual and collective aspects of readiness, was measured at baseline (n = 83 nurses from 37 centers) using the six-dimension E-Ready questionnaire. Adoption of MINISTOP was assessed at 19 weeks through registration data (i.e., the number of families who gained access to MINISTOP). Descriptive statistics and correlation analyses were employed to describe organizational readiness, while negative binomial regression was used to analyze associations between the E-Ready dimensions and adoption.Results
Nurses reported a high degree of readiness for the conditions for change at the workplace, individual conditions for change and workplace attitudes dimensions, a medium degree of readiness for the perceived support among the management dimension, and a low degree of readiness for the readiness among colleagues and perceived consequences on status quo dimension. No statistically significant associations were found between E-Ready's dimensions and adoption. Nevertheless, positive estimates were observed for readiness among colleagues (IRR = 1.1, p = 0.05) and conditions for change at the workplace (IRR = 1.1, p = 0.08).Conclusion
No statistically significant associations were identified between organizational readiness and adoption. The findings illustrate the complexity of organizational readiness as a construct, while the positive estimates observed for collective aspects of readiness suggest that their potential relationship with adoption warrants further investigation. Longitudinal studies using repeated assessments are needed to clarify how organizational readiness relates to implementation outcomes over time.Trial registration
Not applicable.
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BibTeX
@article{fagerstrom2026exploring,
title = {{Exploring organizational readiness for the early adoption of a digital obesity prevention program in Swedish child healthcare: an observational prospective study.}},
author = {Maria Fagerström and Karin Festin and Maria Lundgren and Marie Löf and Jeanette Melin and Margit Neher and Christine Delisle Nyström and Kristin Thomas},
journal = {BMC health services research},
year = {2026},
month = oct,
doi = {10.1186/s12913-026-15953-6},
url = {https://europepmc.org/article/MED/42963759},
note = {CC BY},
}
RIS
TY - JOUR
TI - Exploring organizational readiness for the early adoption of a digital obesity prevention program in Swedish child healthcare: an observational prospective study.
AU - Maria Fagerström
AU - Karin Festin
AU - Maria Lundgren
AU - Marie Löf
AU - Jeanette Melin
AU - Margit Neher
AU - Christine Delisle Nyström
AU - Kristin Thomas
PY - 2026
DA - 2026/10/29
JO - BMC health services research
DO - 10.1186/s12913-026-15953-6
UR - https://europepmc.org/article/MED/42963759
AB - Background Despite the emphasis on organizational readiness in implementation science, there is limited empirical data supporting its role in implementation practice. This study aimed to (a) assess dimensions of organizational readiness at implementation start of an evidence-based digital health promotion and obesity prevention program in Swedish child healthcare (MINISTOP) and (b) investigate the associations between assessed readiness dimensions and the adoption of MINISTOP.Methods In this observational prospective study, all 135 child healthcare nurses from 48 Swedish child healthcare centers involved in the large-scale implementation of MINISTOP in 2023 were invited to participate. Organizational readiness, conceptualized as a multidimensional construct reflecting individual and collective aspects of readiness, was measured at baseline (n = 83 nurses from 37 centers) using the six-dimension E-Ready questionnaire. Adoption of MINISTOP was assessed at 19 weeks through registration data (i.e., the number of families who gained access to MINISTOP). Descriptive statistics and correlation analyses were employed to describe organizational readiness, while negative binomial regression was used to analyze associations between the E-Ready dimensions and adoption.Results Nurses reported a high degree of readiness for the conditions for change at the workplace, individual conditions for change and workplace attitudes dimensions, a medium degree of readiness for the perceived support among the management dimension, and a low degree of readiness for the readiness among colleagues and perceived consequences on status quo dimension. No statistically significant associations were found between E-Ready's dimensions and adoption. Nevertheless, positive estimates were observed for readiness among colleagues (IRR = 1.1, p = 0.05) and conditions for change at the workplace (IRR = 1.1, p = 0.08).Conclusion No statistically significant associations were identified between organizational readiness and adoption. The findings illustrate the complexity of organizational readiness as a construct, while the positive estimates observed for collective aspects of readiness suggest that their potential relationship with adoption warrants further investigation. Longitudinal studies using repeated assessments are needed to clarify how organizational readiness relates to implementation outcomes over time.Trial registration Not applicable.
SN - 1472-6963
ER -