Table 2.
Domains of implementation of information communication technology in health care settings
| Domain | Definition and origin | Examples of factors/determinants |
|---|---|---|
| Characteristics of individuals | Individual-level knowledge, beliefs, self-efficacy, and cognitive process that influence understanding, trust, and adoption of technology NPT (emphasis on social processes and cognition), FITT, CFIR, DOI, and RE-AIM |
Knowledge, beliefs, attitudes, and norms Self-efficacy eHealth literacy/training Personal traits (motivation, values) Participation/engagement Task/work coherence Adherence |
| Organizational environment | Characteristics of the organization such as organizational-level culture and availability of resources that influence ICT adoption. DOI, CFIR, FITT, NPT |
Technical support Organizational size Organizational culture and climate Readiness for change Routinization of use Organization of tasks and activities and complexity of task |
| External environment | Macro-level features surrounding organizations and networks including political, economic, and social contexts. DOI, CFIR |
Regulations and policies around ICT use Funding Organizational interdependence Location (urban vs. rural setting) Patient and population health needs |
| Characteristics of technology | Attributes of the technology which will (or will not) fit with the needs of users and the attributes of the organization and environment. FITT, DOI, RE-AIM, CFIR, NPT (characteristics of intervention more broadly) |
Usability (effectiveness, efficiency, learnability, satisfaction) Functionality (including adaptability of features) Cost Integration Available technical infrastructure Availability |
NPT Normalization Process Theory; FITT Fit between Individual, Task and Technology; CFIR Consolidated Framework for Implementation Research; DOI Diffusion of Innovation; RE-AIM Reach, Effectiveness, Adoption, Implementation, and Maintenance