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. 2011 Dec 18;19(4):562–569. doi: 10.1136/amiajnl-2011-000374

Table 2.

Belief factor and loadings

Item Loadings
Factor Mean (SD) 1 2 3 4
Factor 1: Improve care and communication
 Improve your access to client medical/physical health records 4.01 (0.86) 0.926 0.062 0.015 −0.099
 Improve coordination of care among all providers working with the same client 4.07 (0.92) 0.925 0.073 0.043 0.013
 Provide more complete information to help with your diagnoses and treatment planning 3.89 (0.98) 0.916 0.114 0.023 0.024
 Lead to more complete client information 3.85 (0.96) 0.854 0.102 −0.088 −0.036
 Improve your ability to track medication history 3.93 (0.89) 0.797 −0.035 0.085 −0.001
 Improve your communication with other providers 3.81 (0.96) 0.768 −0.046 0.026 0.058
 Streamline your access to client information/records 3.80 (0.94) 0.740 −0.069 0.008 0.094
 Reduce duplicating client evaluations, assessments, or tests that have already been conducted by other providers 3.83 (1.03) 0.609 0.097 −0.001 0.200
 Improve the quality of care your clients receive 3.25 (1.09) 0.423 −0.093 −0.035 0.326
 Improve your clients' safety 3.07 (1.07) 0.400 0.091 −0.211 0.266
Factor 2: Add cost and time burdens
 Be difficult because your practice lacks the technological expertise to implement and maintain 3.08 (1.24) 0.148 0.838 0.052 0.069
 Be time consuming for your practice to implement 3.40 (1.13) 0.078 0.818 −0.014 −0.063
 Result in extra work for you on a daily basis 3.15 (1.11) 0.015 0.681 0.012 −0.142
 Cost your practice too much to implement 3.24 (1.06) 0.068 0.676 0.212 0.014
 Disrupt your own work flow 2.88 (1.10) −0.076 0.671 0.036 −0.101
 Require more training than you have time for 2.95 (1.10) −0.053 0.662 0.141 0.083
 Be resisted by staff at your practice 3.56 (1.13) 0.082 0.488 0.215 −0.048
 Be difficult for you due to your apprehensions about computer technology 2.47 (1.23) −0.027 0.465 0.226 0.130
 Increase the time your practice spends on transcriptions 3.09 (1.08) −0.012 0.449 0.105 −0.110
Factor 3: Present access and vulnerability concerns
 Be misused by third party payers 3.48 (1.02) 0.160 0.014 0.727 −0.172
 Increase your legal vulnerability 3.47 (1.04) 0.011 0.026 0.655 −0.133
 Force you to use an overly templated behavioral health record 3.30 (1.02) 0.011 0.168 0.629 −0.011
 Compromise your professional ethics 2.76 (1.15) −0.271 0.076 0.581 0.061
 Make you become too reliant on technology that could crash 3.32 (1.14) −0.017 0.265 0.535 0.075
 Be resisted by clients 3.13 (0.99) −0.040 0.194 0.461 −0.050
 Disrupt your relationships with your clients 2.58 (1.02) −0.329 0.244 0.452 0.131
 Be impractical because behavioral health information cannot be captured by checkboxes and dropdown lists 3.13 (1.15) −0.103 0.261 0.441 0.020
 Result in more data entry errors in client records 2.97 (0.93) −0.069 0.309 0.408 0.039
 Improve privacy and security of confidential client information 2.52 (1.10) −0.036 0.175 −0.611 0.519
Factor 4: Impact workflow and control
 Improve your ability to control who has access to your clients' information 2.53 (1.15) −0.109 0.224 −0.372 0.715
 Improve your practice's office work flow 3.14 (1.06) 0.206 −0.277 0.156 0.575
 Improve your practice's billing accuracy 3.02 (1.03) 0.188 0.132 −0.067 0.529
 Create more time for client care 2.94 (1.10) 0.077 −0.319 0.161 0.523
 Improve privacy and security of confidential client information 2.52 (1.10) −0.036 0.175 −0.611 0.519
 Improve your clients' satisfaction with the admissions process 3.06 (1.00) 0.225 −0.073 −0.030 0.490
 Reduce the time you spend on paperwork 2.94 (1.15) 0.121 −0.331 0.092 0.474

Likert scaled responses were: 1=strongly disagree; 2=disagree; 3=neither agree nor disagree; 4=agree; 5=strongly agree.