Table 1.

Sample Interview Guide and Summary of Key Themes

Question	UTAUT domain	Summary of key theme(s)	Sample quotations
Keeping information private is an important part of providing good care. How confident are you that computers and electronic health records can keep your information private?	Performance Expectancy	• Respondents were overall confident in the ability of portals and HIE to keep information secure from breaches, though some risk was acknowledged • Despite this, many were guarded about which providers would have access to their mental health information • Respondents described fear of stigma, labeling, or unauthorized disclosure of their mental illness	• I’m comfortable with it as long as they have the proper security of course, is secure as anything else to be honest. • But when I was like there was a lot of personal information that comes out during, like, a inpatient stay it gets transferred over to like your medical doctor and your family doctor. I don’t think that’s necessary. • What shouldn’t be on the computer for the most part anything that you know anything that the person wants to keep very confidential between, like, very little people should know. That’s why I don’t think it should be in a file on a computer
Sometimes, doctors’ offices have websites or portals that let you access your health information online. Have you ever accessed your health information online?   Probe: Ifyes: how was this helpful   Probe:no: what got in the way?	Performance Expectancy Effort Expectancy	• Patient portals were used to manage care and remain informed about their treatment • Respondents valued having access to their health and mental health information, and desired mechanisms, like the portal, that made accessing care convenient	• So if there is a study done um you know and once he releases the test I can see the results….It’s very useful because since my memory it’s kind of you know confusing and cloudy. If I need to tell another doctor I can go back in there refresh and talk a little bit about it you know, so I don’t miss any details. • Oh gosh um the um what’s it called …[portal] but whatever, the getting prescriptions refilled is super easy
Sometimes, providers use the computer during visits. Often, this is to pull up information about your care, send messages to other providers, send prescriptions and referrals, or print out information about your treatment. How does your provider use the computer to help deliver your treatment?	Performance Expectancy	• Respondents consistently articulated the value of coordinated care, and the desire for their providers to communicate • HIE between providers was seen as a critical component of delivering high-quality care	• I think that the sharing within [hospital system] and those doctors. I think is crucial for each one of them to have a way to openly understand what is going on with me. • When I get a consult for another medical problem. That person reads up on me before I go for the appointment. And then they say to me like oh well this might interfere with that. So, I’m glad that I knew that. Or if I forget to tell them something…So, I think that the more complete the more information in, it the better.
Can you tell me about a time you first learned how to use a new piece of technology?   Probe: What was easy or hard?	Effort Expectancy Facilitating Conditions	• Levels of general technological literacy varied • Even among those generally comfortable with technology, navigating the portal was challenging • Common concerns included an overwhelming interface, and language or content that was difficult to understand	• [family member] will pull up information from my chart…it is better her than me because I don’t use the computer • I’m definitely a tech guy and that’s what my fiancé most think about me • …the websites or the online portals that are too confusing for me to understand. • I’ve learned the tricks around it you have to poke around in there until you learn it