Ruyobeza, BGrobbelaar, SBotha, Adèle2025-07-292025-07-292025-090010-48251879-0534https://doi.org/10.1016/j.compbiomed.2025.110793http://hdl.handle.net/10204/14331Objective: This study aimed to evaluate the quality, relevance and utility of a recently proposed Framework for developing adoptable and scalable Remote Patient Management Systems (FRPMS) through consensus-assessment among experts. Method: A modified Delphi approach was used with 15 experts from diverse fields, including health promotion, behavior change, digital health technology design, implementation science, and digital health policymaking, in two rounds of evaluations. The study focused on assessing the FRPMS's principles, feasibility, and potential outcomes. Results: In the first round, strong consensus (above 80 %) was achieved for all phases of the FRPMS, indicating its potential for enhancing the adoption and scaling of Remote Patient Management Tools and Systems (RPMTS). However, consensus on eight features fell below the target in the first round. Despite this, in the second round consensus on six of the eight facets exceeded the target, suggesting overall agreement on the FRPMS's adequacy. Conclusion: The study concludes that there is sufficient expert consensus on the FRPMS's principles and potential for improving RPMTS adoption and scaling. Even though the target consensus was not reached on two features, the FRPMS framework is perceived as significantly useful and relevant by experts. Further research is recommended to promote the FRPMS's adoption and evaluate its impact on RPMTS design and implementation.FulltextenRemote Patient Management Tools and SystemsRPMTSAdoptionScalingFrameworkExpertsDelphiArticlen/a