Table 3.

Themes related to barriers to technology use

Theme	Subtheme
System level
	Availability of technology
	Staffing and clinic capacity
	Clinic regulations and HIPAA compliance
Provider/staff level
	Personal privacy
	Time constraints and defining limits
	Familiarity with technology and personal comfort
Youth level
	Changing/loss of cellular telephones
	Trust and relationship with provider/staff
	Access to technology (e.g., data, text, Wi-Fi)

Abbreviation: HIPAA, Health Insurance Portability and Accountability Act.