Table 4.

Role of technology for supporting values elicitation among people with anxiety or depression

Theme	Example concern	Role of technology	Implications for design
Perceptions of rationale, benefits, and risks of values elicitation	After putting in effort into values elicitation activities, patients are concerned that their doctor will fail to incorporate their values into their care plan.	A patient portal like MyChart can document the patient’s values, provide “read receipts,” and be used as a discussion tool with their PCPs to regularly check-in on their health goals and progress.	Patients should be able to verify when their PCPs have confirmed receipt of their values on the portal. Further, a guide informing the patient of how these values will be used can allay concerns surrounding misuse or lack of use of their values.
Importance of facilitator credibility, training, and capacity to help	Patient is concerned that the facilitator does not have the proper training or credentials to discuss nuanced challenges of living with MCC, anxiety, and depression.	A descriptive website associated with a health care organization that provides values elicitation facilitator biographies can demonstrate legitimacy and credibility.	Facilitator biographies should include information about training and certifications, as well as personal statements of how they use values to guide patients in achieving goals. Such information demonstrates skill and dedication to the beneficence of the patient.
Assessing and navigating personal capacity	Patients have limited time due to attending multiple health visits.	Telehealth offers flexibility for patients with limited time and energy to attend many appointments. Brief, user-friendly electronic forms can reduce undue stress.	Clinicians can provide more telehealth opportunities. Designers can create simple and navigable eHealth platform interfaces, preventing patients from being deterred.