Evidence map›Paper›PMID 41567766›Full record

ReviewFrontiers in public health2025

Living Labs in digital health: a collaborative ecosystem approach for continuum of care.

Tiziana Russo-Spena, Claudia Salvatore, Beth Fairfield, Annachiara Giordano, Serena De Simone, Maddalena Illario

Abstract readReview
In one paragraph

Review in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tiziana Russo-SpenaDepartment of Economics, Management, Institutions, University of Naples Federico II, Naples, Italy.
Claudia SalvatoreDepartment of Public Health, University of Naples Federico II, Naples, Italy.
Beth FairfieldDepartment of Humanities, University of Naples Federico II, Naples, Italy.
Annachiara GiordanoDepartment of Public Health, University of Naples Federico II, Naples, Italy.
Serena De SimoneDepartment of Public Health, University of Naples Federico II, Naples, Italy.
Maddalena IllarioDepartment of Public Health, University of Naples Federico II, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Living Labs (LLs) are increasingly recognized in healthcare as collaborative environments that drive digital health innovation through stakeholder co-creation in real-world settings. However, existing research has predominantly conceptualized LLs as experimental testbeds for technology validation, neglecting their broader systemic potential in integrated health services. Objectives: This study seeks to advance the understanding of LLs in digital health by identifying their foundational elements, analyzing their methodologies, and proposing an expanded framework for their application within healthcare ecosystems. Methods: The study combines a systematic scoping review, guided by PRISMA and based on ENOLL's (2021) six LL principles, with expert focus group discussions. This multi-method design integrates conceptual insights with practical perspectives from digital health contexts. Findings: The study delineates the defining features of LLs in digital health, including their typologies, methodological specificities, stakeholder configurations, intended outcomes, and systemic challenges. These insights inform the Collaborative Living Ecosystem Approach (CLEA), a conceptual framework that reconceptualizes LLs as multidimensional platforms for sustainable healthcare innovation. Discussion: CLEA encompasses three core dimensions: a reconceptualization of LLs beyond innovation hubs, a stakeholder-driven model that fosters co-creation, and an emphasis on integrating healthcare services to enhance connectivity across health and care levels. By providing a structured and integrated perspective on LLs, this study contributes to the discourse on digital health ecosystems, shifting the focus from technology validation to holistic, sustainable healthcare solutions that address complex health and societal needs.

Indexed as

Continuity of Patient CareCooperative BehaviorDigital HealthEcosystemHumanscollaborative ecosystemsdigital healthhealth service provisionLiving Labssystematic review

Identifiers

PMID41567766
PMCPMC12816325

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.