Table 2.
Barriers and facilitators for study feasibility based on the ethnographic observations, audio-diaries, focus groups and semi-structured interview with the GP, GPA and patients.
| Barriers | Facilitators |
|---|---|
| Time and resources | |
| 1. Lack of time and resources causing pressure on finishing inclusions | 1. Availability of time, resources, and personnel |
| 1.1 GP and GPA are too busy, leading to time pressure for the inclusion and obstruction of data collection | 1.1 GP and GPA available to ensure a smooth inclusion process |
| 1.2 Lack of dedicated study room for the inclusion due to busy GP practice | 1.2 Sufficient time of the GP for a smooth inclusion and complete data collection |
| Impact of the researcher | |
| 2. Influence of presence or absence of the researcher on the patient and general practitioner | 2. Presence of the researcher during inclusions facilitates data collection |
| 2.1 Presence of researcher impacts natural behaviour of the patient | 2.1 Researcher can help making the assessment with the app |
| 2.2 Presence of researcher influences care as usual by the GP | 2.2 Researcher ensures blinding of the GP |
| 2.3 Absence of the researchers leads to the patient revealing the assessment and the GP losing blinding | |
| Usage of the app | |
| 3. Patient and tumour characteristics hindering inclusion | 3. Usage of the mHealth app is an effortless process |
| 3.1 Lesion characteristics leading to a difficult assessment | 3.1 Patient is technologically engaged leading to effortless usage of the app |
| 3.2 Personal insecurities slowing down the inclusion | |
| 4. Technological inexperience of patients | |
| 4.1 Lack of experience with the study specific technological devices | |
| 4.2 General technological illiteracy | |
| Study-related information provision | |
| 5. Lack in provision of study-related information | 4. Familiarity of the general practitioner with the study, leads to an easier and quicker inclusion |
| 5.1 GP and GPA experience a lack of sufficient study information | |
| 5.2 Patients experienced a lack of sufficient study information | |
| Other | |
| 6. Practical issues in material and research facilities | |
| 7. Unforeseen circumstances leading to cancelations or delays | |
Abbreviations: GP; General practitioner, GPA; doctor's (GPs) assistant.