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. 2024 Mar 8;11:e53391. doi: 10.2196/53391

Table 2.

Themes and subthemes from phases 1 and 2 organized by the Consolidated Framework for Implementation Research (CFIR) and additional emerging themes.

Main themes: CFIR domains and constructs Subthemes
Phase 1: before eDialogue Phase 2: after eDialogue
Intervention characteristics
Relative advantage
  • Contradictory expectations for using eDialogue versus phone call

  • A lifeline and reassurance for both patients and HCPsa

  • Hidden work can become visible

  • Quick and easy to interact in eDialogue

  • Photos in eDialogue improve the quality of communication

Adaptability
  • N/Ab

  • Development of individual strategies and workflows for the use of eDialogue

Outer setting
Needs and resources
  • Patients are messengers of information between HCPs

  • Timely and effective interdisciplinary communication with patients across settings

Inner setting
Tension for change
  • Feeling like an insufficient intermediary

  • Phone calls are disruptive, yet necessary

  • N/A

Relative priority
  • Experiences of technology fatigue

  • N/A

Compatibility
  • N/A

  • Divergent perceptions of how well eDialogue meets needs

Available resources
  • N/A

  • Concerns about resource consumption

  • Need for clarification regarding financial incentives

Characteristics of individuals
Self-efficacy
  • N/A

  • To express oneself in writing

Additional emerging themes
Previous experiences with digital communication
  • Email and SMS text messaging are already used with patients and for interdisciplinary communication; however, standardization is lacking

  • N/A

Reflection and learning
  • N/A

  • A new space for studying patients’ needs

aHCP: health care professional.

bN/A: not applicable.