iCHECK-DH (I checked): Guidelines and Checklist for the Reporting on Digital Health Implementations (Preprint)

BACKGROUND Implementation of digital health technologies has grown rapidly, but many remain limited to pilot studies due to challenges such as a lack of evidence or barriers to implementation. Overcoming these challenges requires learning from previous implementations and systematically documenting implementation processes to better understand the real-world impact of a technology and identify effective strategies for future implementation. OBJECTIVE A group of global experts, facilitated by the Geneva Digital Health Hub (gdhub), developed the iCHECK-DH Implementation Reporting Guidelines and Checklist to improve the completeness of reporting on digital health implementations. METHODS The Guideline Development Group was convened to define key considerations and criteria for reporting on digital health implementations. To ensure the practicality and effectiveness of the checklist, it was pilot tested by applying it to several real-world digital health implementations, and adjustments were made based on the feedback received. The guiding principle for the development of the iCHECK-DH guidelines and checklist was to identify the minimum set of information needed to comprehensively define a digital health implementation, to support the identification of key factors for success and failure, and to enable others to replicate it in different settings. RESULTS The result is a 20-item checklist with detailed explanations and examples in this paper. The authors anticipate that widespread adoption will standardize the quality of reporting and, indirectly, improve implementation standards and best practice. CONCLUSIONS Guidelines for reporting on digital health implementations are important to ensure the accuracy, completeness and consistency of reported information. This allows for meaningful comparison and evaluation of results, transparency, and accountability, and informs stakeholder decision-making. The i-CHECK-DH guidelines and checklist facilitate standardisation of the way information is collected and reported, improving systematic documentation and knowledge transfer that can lead to the development of more effective digital health interventions and better health outcomes.