Table 1.

Potential service-specific barriers and mitigation strategies to implementation of our technology-enabled solutions.

Barriers	Mitigation strategies
Negative staff attitudes [20,21]; staff resistance to change [17,20-22]; changes to work practices, such as increased workload [20-22]	Engagement and buy-in fostered through participatory design and user (acceptance) testing; co-design of service model to identify gaps between new and existing workflows and foster collaborative problem-solving approaches to customization and configuration of the technology-enabled solution for the benefit of service quality improvement; development of a communication strategy to assist the service with messaging within internal stakeholders and service users
Staff turnover and lack of staff resources [17,18]	Implementation Officer embedded in service to maintain continuity of support; contingency plan for training new staff
Innovation not able to adapt over time to meet staff needs [17,20,22]	Ongoing evaluation of the technology-enabled solution; continuous and iterative refinement of the technology-enabled solution and service model throughout Phases 3 and 4 (implementation and sustainment)
Design and usability of the technology-enabled solution [20,21,24]; adaptability/flexibility of the technology-enabled solution [17,18,22]; compatibility/fit of technology-enabled solution with service mission [17,18]; user resistance to the technology-enabled solution [22]; noninteroperability (or limited) with other information and communications technology systems [17,20]; fidelity of implementation [17,22]; availability of and user familiarity with required equipment to use the technology [21,24]	Service provider readiness assessment to determine compatibility of the technology-enabled solution with the service; co-design for a service-specific technology-enabled solution; technology configuration and customization arising from the co-design process, including co-design and co-development of service-specific content, as well as integration with service information and communications technology systems; iterative user experience and user acceptance testing; iterative evaluative processes related to technology and implementation process, highlighting adaptability of the technology; provision of ongoing education and training and technical assistance