Table 2 Summary of enablers and barriers identified by stakeholders mapped onto BCW behaviour components

Physical ability to use smartphone

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Capability

Visual and physical impairment

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Competent at using smartphone

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Lack of technical skill

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Awareness of their problems

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Poor literacy skills

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Able to use strategies

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Cognitive problems e.g. switching between screens

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Have a smartphone

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Opportunity

Cost and competition from other apps

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Having the opportunity to personalise use

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Losing smartphone and battery problems

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Enables users to record symptoms as they happen

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Technology not reliable e.g. loss of information if phone updated

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Computerised record of use (e.g. to track goal attainment)

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Incapability with existing systems i.e. will it sync with computer diary

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Offers opportunity to self-monitor and alter use

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Work place restriction not allowing use

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Using a phone seen as ‘normal’ behaviour i.e. reduced stigma

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Motivation

No interest in the use of technology or existing systems in place e.g. paper diary

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Potential to be personalised to individual needs

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Do not see a use for it

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Motivated if they can see a use for it e.g. problem and solution system

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Feeling the app is too complicated for them to use or learn to use

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Feeling confident to use the app

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Loss of motivation and disengagement with rehabilitation process

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May allow the user to feel like they are taking control of their life again

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Feeling as though they are being monitored

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Do not want to use paper diary

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Too time consuming to set up/edit

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Too many reminders may be annoying

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Lack of existing evidence/use in the ABI population

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