Table 1.

Examples of how inputs associated with research and development activities affected telehealth intervention.

	Concept development	Prototype development
Multidisciplinary project management	Recognizing that a finding from a randomized controlled trial (initiating a case conference at a point of functional decline identified by a standard tool) could be translated into an online app	Opportunities to test and evaluate different technical options for service against multiple criteria
	Staff from another eHealth project identified the importance of a Web-based system for data entry	Including a Quality Improvement/usability phase with patients in the community
Contextual inquiry	Awareness of palliative care service’s previous involvement in clinical studies	Clinicians should not be required to undertake atypical behavior patterns (eg, go to another building for a virtual service)
	Discussions with the clinical team identified that many had no experience with tablets and only limited computer experience in the workplace	Developing required specification of implicit clinical practice
	Health service providers were facing funding difficulties and hence were supportive of approaches to maintain or enhance community service provision	Assessing trade-offs between device functions and the capabilities of intended users
Value specification	Enhancing access to patient and carer’s state of health/well-being between visits	Ensuring continuity of care across patient and carer and pre/post-bereavement
	Supporting clinicians in moving to telehealth	Usability as the priority for prototype
	Doing more with less (or same)	“You’re not a geek, it’s ok to not know things”
Design	Using commonly available devices to support post-trial sustainability	Modifying features based on feedback from patients who assisted in a quality assurance phase
	Recognizing the usability requirements of older people who may have accessibility issues	Remote facility to update carer resources after death of a participant