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Barriers and Enablers to Using a Patient-Facing Electronic Questionnaire: A Qualitative Theoretical Domains Framework
Janet Yamada1, Andrew Kouri2,3, Sarah-Nicole Simard1
1Daphne Cockwell School of Nursing, Faculty of Community Services, Ryerson University, Toronto, ON, Canada.
Journal of Medical Internet Research
|October 8, 2020
Summary
Patient reminders and perceived responsibility enhance electronic asthma questionnaire completion. Data security concerns and time constraints are key barriers to patient uptake of mobile health tools.
Area of Science:
- Digital health interventions
- Health informatics
- Patient engagement
Background:
- Electronic patient questionnaires are increasingly used in healthcare.
- The Electronic Asthma Management System was developed to address asthma care gaps.
- This system links previsit electronic questionnaires to clinical decision support.
Purpose of the Study:
- To identify factors influencing patient adoption and completion of mobile health questionnaires.
- To understand barriers and enablers for patient use of e-questionnaires in asthma management.
Main Methods:
- Semistructured interviews were conducted with adult asthma patients in Toronto, Canada.
- The Theoretical Domains Framework guided interview questions to assess health-related behaviors.
- Participants completed a mobile health questionnaire before the interview.
Main Results:
- Ease of completion, perceived patient responsibility, and potential for personalized care were key enablers.
- Concerns regarding data security, perceived usefulness, time constraints, and device preference were identified barriers.
- Patient reminders were suggested to optimize uptake and completion.
Conclusions:
- Addressing identified patient barriers and enablers is crucial for successful implementation strategies.
- Findings can inform e-questionnaire implementation across various settings and conditions.
- Enhancing patient use of e-questionnaires can improve healthcare delivery.
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