Table 5.

Respondent Themes

Recognition of patient needs

Perceived need for services high

Drove motivation to try new services

Inspired cooperation

Outside information

Garnered support for services

Perceived as highly useful

Attitude shift over time

Initial negative/ambivalent feelings common

Attitudes became more positive over time

Attitude shift largely due to positive patient/staff feedback

Interorganizational collaboration

Presented bureaucratic and communication challenges

Perceived as necessary

The influence of local and clinical staff

Individual champions needed to influence others

Telehealth outreach worker helped patient outreach and built community trust

Cultural sensitivity

Key to community acceptance

Produce negative patient attitudes when not observed

Percentages may exceed 100% due to multiple responses by a single participant.