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barriers, Barriers/ Facilitators (Individual Level), Environmental &…
barriers
Barriers/ Facilitators
(Individual Level)
Personal Agency/ Motivation
(O'Connor et al) (BMC systematic review)
Barriers
Lack of Motivation
lack of motivation to understand or improve health
same as above (
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6898891/
)
Awareness & Understanding
Unaware of or lacks understanding of how a DHI could be helpful
Personal Agency (choice and control)
Alternative ways of documenting health information and managing illness
Personal Life & Values
(
https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-016-0359-3
)
Barriers
Personal lifestyle
Busy lifestyle with competing priorities
Skills and equipment
Poor digital literacy
Lack of access to equipment and the Internet
Cost of a DHI
same as above (
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6898891/
)
Privacy and security
Concern over the security and privacy of DHI information or interaction
same as below (
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6898891/
)
Engagement and Recruitment Approach
(
https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-016-0359-3
)
Barriers
Recruitment strategy
Difficulty understanding the
recruitment message
Direct support
Lack of support from family
members, friends or peers
Personal advice
Lack of advice and
recommendations from
trusted sources
Clinical endorsement
Lack of clinical endorsement
and support for a DHI
missing information too (
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6898891/
)
Quality of DHI
(
https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-016-0359-3
)
Barriers
Negative digital health experience(quality of information or interaction)
Impersonal DHI (poor quality
information or interaction)
Lack of trust in DHI information
or interaction
Digital health interaction could
be abusive
Same as above
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6898891/
)
Usability of the DHI
DHI is difficult to use
Complex registration process
time to learn how to use the technology (
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6898891/
)
Environmental & Organisational Barriers
(
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6898891/
)
Financing
Political Barriers
evidence base???
How to fit into organisational structures
Technical Barriers
Unsuited service design does not fit users needs
Security
Standards of Service