Table 3.
Summary of themes, facilitators, barriers, and complexity of Non-adoption, Abandonment, Spread, Scale-up, and Sustainability (NASSS) domains
| Domain and complexity | Theme | Facilitator | Barrier | Facilitator and barrier |
|---|---|---|---|---|
| Condition, complicated | Nature of disease | Heterogeneous population | Complexity of therapy | |
| Care path/therapy | ||||
| Other factors | Range of age | Self-management | ||
| Technology, complex | Technical functions | Simple preparation | Linkage with EHR | |
| Technical features | Support present | Indirect measurements | ||
| Value proposition, complicated | Financial value | Business case well-defined | Financial value negative | |
| Patient care | Added value (P+HCP) | Unknown effectiveness and cost-effectiveness | ||
| Adopters, complicated | Adoption/use | User-friendliness (P) | Deficient digital skills (P) | User-friendliness (HCP) |
| Added value (P+HCP) | ||||
| Support from family/carer (P) | ||||
| Work routine (HCP) | Division of labor not final | |||
| Intention | Digital competence (HCP) | No value (P) | Experiencing no symptoms | |
| Organization, simple | Capacity to innovate | Good management structure and relationship | ||
| Great organization with proper resources and human resources | ||||
| Good organization system fit | ||||
| Support | Open for innovations |
EHR electronic health record, HCP health care professional, P patient