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. 2026 Jul 27;9:e83077. doi: 10.2196/83077

Table 3.

Facilitators of and barriers to using the Picterus Jaundice Pro (JP) app: insights from parents and nursesa.

Theme Facilitators Barriers
Intention to use Picterus JP
  • Easy and simple to use (Pb, Ic, and Nd)

  • Home access (P and I)

  • Feeling in control (P, I, and N)

  • Reassuring for extra monitoring (P and I)

  • Difficulties obtaining measurements (P, I, and N)

  • Doubts about relevance (I and N)

  • Doubts about reliability (P and I)

  • Reminders needed (I and N)

Infant well-beinge
  • Quick (P and N)

  • Comfortable (P)

  • Safe (P)

  • Minimally intrusive (P)

  • Usable at own convenience (P and I)

  • Prolonged undress (P and I)

  • Neonate too upset (P and I)

  • Camera flash (P and I)

Guidance and instructions
  • Easy to understand (P, I, and N)

  • Self-explanatory (P, I, and N)

  • Quick to explain (P and N)

  • In-person explanation (I and N)

  • Unclear for parents what to do when a problem occurs (P, I, and N)

  • Uncertainty among parents regarding what to do with results (P, I, and N)

  • In-app guidance easy to miss (P, I, and N)

aThis table presents perceived topics divided into either facilitators of or barriers to using the Picterus JP app. Topics were grouped into 3 themes. Within themes, topics were ordered from most to least frequently mentioned.

bP: parents (responses from the survey; n=123).

cI: interviewed parents (n=12).

dN: nurses who participated in the focus groups (n=12).

eThe theme “infant well-being” reflected factors related to the infant’s comfort and safety as perceived by parents but did not indicate actual clinical risk that was reported during the study.