Table 2.

Themes, categories, and facilitators and barriers.

Themes and category		Facilitators	Barriers
Innovation
	Attractiveness	User-friendliness of the program	Usage restriction of the innovation
	Amount of information	Bundled, reliable, and age-adjusted information about asthma	Asthma control test is sensitive but not specific for poor asthma control (eg, a common cold may falsely suggest poor asthma control)
	(Dis)advantage	Possibility of frequent monitoring patients’ symptoms	Link with patients’ electronic health records is missing
	Accessibility and usability	Possibility to ask questions (helpdesk) User manual with instruction at start	The (theoretical) possibility that privacy of patients’ data could not be fully guaranteed Usability in case of ICTa problems
Individual professionals
	Attitude of professionals	Attitude of the health care professional (believe in eHealth, convinced of the value of the innovation in daily practice)	Attitude of the health care professional (not convinced of the value of the innovation in daily practice)
	Professional skills	Enrichment of work	No substitution for face-to-face contact
	Knowledge and awareness of eHealth	Expectation that parents and children favor the innovation Accessible contact and improvements in relationship with patients More time for complex patients Customizing care to the individual patient Possibility to gain experience with eHealth Results of the randomized controlled trial about effectiveness of the innovation were positive Experience with the use of the innovation in an earlier study	Risk of losing patients out of sight Extra way of communication Adequate and timely response to messages is difficult to ensure Less patient contact can have a negative effect on the professional’s own development Difficulty to motivate colleagues to use the innovation Lack of time to explore the innovation Management imposed the innovation Difficulty to recruit patients No routine use of the innovation Lack of knowledge or (computer) skills
Patients
	(Dis)advantage for the patient	Fewer outpatient visits	Less contact with the health care professional
	Patient satisfaction and compliance	Less absenteeism from school	More (daily) confrontation with the diagnosis of asthma
	Accessibility and usability	Promoting patients’ compliance, self-management, and knowledge Patient satisfaction Less focus on illness of the child Improvement of security and privacy with the use of the innovation	The innovation is not applicable for all patients Ensure continuous use of the innovation by patients Lack of access to the internet Different options in the innovation Patients were inadequately instructed about the innovation
Social context
	(Lack of) sufficient interprofessional collaboration	Better collaboration between health care professionals	Unclear allocation of tasks between health care professionals
	Substitution of tasks or care by health care professionals	Substitution of care by health care professionals	—b
	Care according to current guidelines	Possibility to give care according to the most recent guidelines	—b
Organizational context
	Organization of care or care processes	Care logistics is better organized nowadays	Implementation of the innovation in daily practice was unclear or incomplete
	Time	Fewer outpatient visits resulting in more time	Link to patients’ electronic health dossiers is missing
	ICT infrastructure	Time saving and efficient Smaller workload for personnel Positive public relations for department and hospital	Lack of involvement of management during implementation Lack of promotional material (ie, leaflets) Extra workload, time, and administration Delay at start-up ICT problems
Economic and political context
	Financial arrangements	Complementary to current asthma management Keep up with current developments Improvement of care	Uncertainty of future of pediatricians Similar eHealth innovations had no added values Lack of reimbursement for Web-based monitoring

^aICT: information and communication technology.

^bBarriers were not described in this theme and/or category.