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Using a data extraction tool shared in Multimedia Appendix 4, we mapped the text in tabular form against the NASSS framework [36] domains, noting some of the document sections might touch upon 1 or more domains.
In agreement with the latest JBI methodological guidance [18-20], no critical appraisal was undertaken, and the final presentation of results consisted of the following.
Interact J Med Res 2025;14:e45367
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The nonadoption, abandonment, scale-up, spread, and sustainability (NASSS) framework [25,26] is used to investigate technology innovations in health care organizations such as video consulting systems [27], web-based psychiatric therapy applications [28], or artificial intelligence applications [29]. Therefore, we decided to apply the NASSS framework to investigate mainstream technology adoption in services and supports for people with intellectual disabilities.
JMIR Rehabil Assist Technol 2024;11:e59360
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The NASSS (Non-adoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies) framework is a validated tool developed to support the implementation and scale-up of health technology programs, offering a structure for studying the unfolding of such initiatives in 7 domains (Textbox 1) [8].
JMIR Pediatr Parent 2023;6:e47663
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Another example is the Nonadoption, Abandonment, and challenges to the Scale-up, Spread, and Sustainability (NASSS) framework, which reviews the implementation of health care technology in multiple domains (eg, technology, value proposition, adopters, and organization) [30]. According to the NASSS framework, the development of technology is a never-ending process in which the technology can be adjusted to fit each specific setting and context [31].
J Med Internet Res 2023;25:e45819
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