Table 2.
Inherent characteristics of health information technology interventions as barriers and facilitators.
| Characteristic | Barriers | Facilitators |
| Evidence strength and quality | Unreliability of data [39,57,75] (3 mentions) | Ensuring reliability [25,50,57] (3 mentions) |
| Relative advantage | Threaten the HCPa-patient relationship [49,50], reduce the quality of care [49], unhelpful [49,51,72,76], and provoke negative emotions [38,39] (9 mentions) | Convenience [42,46,49,52,75,81], help HCP-patient communication [46,63-65,70,76,87,89], help monitoring [52], engagement [42,76,82], improve disease management [46,49,56], improve data quality [71,87], improve quality of care [45,46,49,75,80,90], improve awareness [40,49,56,63,76,77], efficiency [63,71,87], increase access [42,45,49,75,77,85,90], perceived usefulness [44,49,51,61,67,69,75,85], and reduce risk of error [87] (54 mentions) |
| Adaptability | Inapplicability [50,58,76], poor accessibility [49,61,63,77], and interoperability problems [70] (8 mentions) | Flexibility [44,50,51,55,57] and data interoperability [78,90] (7 mentions) |
| Complexity | Data-related problems (collecting, managing, processing) [49,50,52,60,77,90], technical challenges [41,44,49,63,80,83], and overall complexity [53,80,88] (15 mentions) | None reported (0 mentions) |
| Design quality and usabilityb | Poor data quality [38,42,51,77,90], poor design [40,44,49,63,77,84], and difficult to use system (eg, password problems, slow speed, functionality) [42,44,46,51,56,58,78,84,90] (20 mentions) | Good data quality [56,72], good design [46], good data visualization [51,52,70,76,77], good content (eg, specific) [72], and ease of use [51,58,61] (12 mentions) |
| Cost | Cost of implementation [47,48] and cost of the internet [46] (3 mentions) | Technology reduces costs [67,87] (2 mentions) |
aHCP: health care provider.
bThe definitions have been modified from the original Consolidated Framework for Implementation Research construct codebook to match the context of this study.