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Table 2 Design themes (n = 10 interviewees)

From: Integrating data from an online diabetes prevention program into an electronic health record and clinical workflow, a design phase usability study

Theme Detailed idea (number of mentions)
Barriers to establishing healthy lifestyles • Limited access to healthy food (6)
• Limited access to exercise options (6)
• Health literacy (6)
• Multiple competing priorities (4)
• Cost (5)
• Lack of time to cook well, exercise (4)
• Cooking and food storage facilities, homelessness (3)
• Motivation (4)
• Culture/family (2)
Features of lifestyle modification program • In-clinic contact for warm handoff (8)
• Community-based program (5)
• Cultural, language sensitivity (4)
• Economic sensitivity (2)
• Education provided pictorially (2)
• Physical activity facilitation – pedometer (2)
• Incentives to participate (2)
• Integrate with PCP for synergy in messaging (3)
• Social experience/support, peer network (1)
• Help patient set small realistic goals (1)
• Makes it easy to keep coming back (1)
• Remote component – phone/online (1)
• Provide stress management/coping skills counseling (1)
• Outcome/evidence based (1)
• Scalable/few resources/automated in some way (1)
• Identify patient and MD goals – work toward mutual goals (1)
Reporting of outcomes to primary care provider • Patient identified goals (5)
• Patient’s level of engagement (7)
• Biometric data – weight, blood pressure, hemoglobin A1c (6)
• Patient’s barriers, red flags that would make success near impossible (6)
• Overall sense of progress (7)
• How patient relates choices to health outcomes (1)
• Food group breakdown versus fat/carbohydrate breakdown (2)
• Patient’s action plan (1)
Integration with primary care • Quarterly updates (6)
• Access and use in real-time with patients (7)
• Provider alerts for new data (2)
• Display in the EHR: graphical display, access coaching notes, patient goals and barriers (10)
• Train ancillary staff to use data with patients (7)
• Way to acknowledge receipt (1)