Skip to main content

Table 4 Factors affecting digital health engagement and recruitment

From: Understanding factors affecting patient and public engagement and recruitment to digital health interventions: a systematic review of qualitative studies

Barriers Facilitators
Themes 1: Personal Agency and Motivation
 Barrier
 Subtheme 1.1:
 Lack of Motivation
Lack of motivation to understand or improve health Facilitator
Subtheme 1.1:
Personal Motivation
Motivation to understand and improve health
 Barrier
 Subtheme 1.2:
 Awareness and understanding
Unaware of or lacks understanding of how a DHI could be helpful Facilitator
Subtheme 1.2:
Awareness and understanding
Ability to understand a DHI and personal health data
 Barrier
 Subtheme 1.3:
 Personal Agency (choice and control)
Alternative ways of documenting health information and managing illness Facilitator
Subtheme 1.3:
Personal Agency (choice and control)
Ability to choose time and location of interaction with a DHI
Ability to control electronic personal health data
Themes 2: Personal Life and Values
 Barrier
 Subtheme 2.1:
 Personal lifestyle
Busy lifestyle with competing priorities Facilitator
Subtheme 2.1:
Personal lifestyle
DHI fits with personal lifestyle
 Barrier Subtheme 2.2:
 Skills and equipment
Poor digital literacy Facilitator
Subtheme 2.2:
Skills and equipment
Good digital literacy
Lack of access to equipment and the Internet Has or can afford computer equipment or mobile device, network connectivity and a data plan
Cost of a DHI
 Barrier Subtheme 2.3:
 Privacy and security
Concern over the security and privacy of DHI information or interaction Facilitator
Subtheme 2.3:
Privacy and security
Values the privacy and anonymity of DHI information or interaction
Theme 3: Engagement and Recruitment Approach
 Barrier
 Subtheme 3.1:
 Recruitment strategy
Difficulty understanding the recruitment message Facilitator
Subtheme 3.1:
Recruitment strategy
Active promotion and engagement strategies
Health professional acts as a gatekeeper
 Barrier
 Subtheme 3.2:
 Direct support
Lack of support from family members, friends or peers Facilitator
Subtheme 3.2:
Direct support
Support from family members, friends or peers offline
 Barrier
 Subtheme 3.3:
 Personal advice
Lack of advice and recommendations from trusted sources Facilitator
Subtheme 3.3:
Personal advice
Recommended by family members, friends or peers
 Barrier
 Subtheme 3.4:
 Clinical endorsement
Lack of clinical endorsement and support for a DHI Facilitator
Subtheme 3.4:
Clinical endorsement
Clinical accreditation and support for a DHI
Theme 4: Quality of the Digital Health Intervention
 Barrier Subtheme 4.1 and 4.2:
 Negative digital health experience (quality of information or interaction)
Impersonal DHI (poor quality information or interaction) Facilitator
Subtheme 4.1 and 4.2:
Positive digital health experience (quality of information or interaction)
Open, honest digital interaction with healthcare provider
Lack of trust in DHI information or interaction Previous negative experience of health services without a DHI
Digital health interaction could be abusive Social support from peers online
 Barrier Subtheme 4.3:
 Usability of the DHI
DHI is difficult to use Facilitator
Subtheme 4.3:
Usability of the DHI
DHI is easy to enrol in and use (automated and integrated)
Complex registration process