Table 3.

Assessing integration themes with illustrative quotes from clinicians and clinic staff.

Themes and respondent roles		Illustrative quotes
Information gain and clinical value of RFITa
	Clinician	“The tablet enables discussions around areas such as alcohol and smoking. It allows GPsb to gage a patient’s exercise levels and therefore starts a discussion around physical activity.”
	Clinician	“If you read the note while the patient is in the room, you can refer to their responses [from RFIT] to initiate the discussion.”
	Clinician	“I am intrigued by the Ocean app, but if the only survey I was using was RFIT, I would not spend the money...”
	Clinician	“I guess it assisted in the conversation on these topics... But our EMRc also prompts us to discuss many of these topics already. Patients also seem more engaged these days on their health and primary prevention. Patients did not use questions from RFIT as prompts or starting points for discussion [with their clinician]... The piece that is missing is, what do you do with this information? How do you help or what resources are available... You end up doing what you always would’ve done.”
Solutions to meet identified challenges (ie, tailoring the survey and adjustment to the process)
	Clinician	“I could see this working well for other types of appointments and surveys. It would be very helpful for necessary [mental health] paper forms that have to be typed into the computer [EMR]... [or for] walk-in appointments... [or] to assess risk factors for prenatal [visits].”
	Clinician	“Nutrition flag might be more meaningful if you could say how poor the patient’s nutrition is compared to other patients. A comparative measure of nutrition... Or focusing on some specific areas such as ‘how often do you eat out’ and ‘where do you usually eat out’.”
Patients’ reactions
	Reception	“There has been a good response to the tablet by patients. Patients have found no issues with the interface.”
	Reception	“Most patients were happy with something to occupy their time in the waiting room.”

^aRFIT: Risk Factor Identification Tool.

^bGP: general practitioner.

^cEMR: electronic medical record.