Table 5.

Barrier themes and individual observations (N=86).

Themes/observations	References	Occurrence, n (%)
Technical literacy	[23,25,26,28-31,35,37,41-44,49,57,60,62,65,66]	19 (22)
Technology needs further development	[26,27,29,30,36-39,45,49,57,62]	12 (14)
Availability of technology	[22,28,35,41,43,51,60,62]	8 (9)
Cost	[38,39,41,43,44,46,59]	7 (8)
Connectivity	[31,42,43,49,51,53,61]	7 (8)
Confidentiality/security	[22,29,39,42,53,65,66]	7 (8)
Some patients prefer in-person consultations	[23,25,31,32,44,47,48,52]	8 (9)
Perceived lack of usefulness	[32,45,57,66]	4 (5)
Decrease in patient-provider communication	[25,29,49]	3 (3)
Health literacy	[28,65]	2 (2)
Limits of reimbursement for telemedicine	[31,53]	2 (2)
Lack of personal desire to get better	[32,37]	2 (2)
Decrease in quality of life after intervention	[34]	1 (1)
Discomfort for wearable monitors	[30]	1 (1)
Workflow issues for providers	[47]	1 (1)
Lack of infrastructure	[53]	1 (1)
Interoperability	[41]	1 (1)
Not reported	[24,33,40,50,54-56,58,63,64,67]	11 (N/Aa)

^aN/A: not applicable.