Table 2 Results of the BaFAI
Factors identified as barriers | Intervention (n = 24) (% of total) | Control (n = 17) ((% of total) |
|---|---|---|
Characteristics of the practice/innovation | ||
The online platform leaves enough room for me to make my own conclusions—compatibility | 1 (4%) | 1 (6%) |
The online platform leaves enough room to consider my patients related mental health needs – specificity | 0 (0%) | 0 (0%) |
The online platform is a good starting point for my self- study – didactic flexibility/benefit | 0 (0%) | 1 (6%) |
Working according to the online platform is too time consuming – time investment | 13 (54%) | 10 (59%) |
The online platform does not fit into my ways of working at my practice—attractiveness | 7 (29%) | 6 (35%) |
The lay-out of this online platform makes it handy for use—attractiveness | 2 (8%) | 4 (23,5%) |
Barriers deriving from the characteristics of the professionals | ||
I did not thoroughly use nor remember the online platform – training attitude | 10 (42%) | 10 (59%) |
I wish to know more about the online platform before I decide to apply it—innovation doubts | 8 (33%) | 10 (59%) |
I have problems changing my old routines. motivation and role | 10 (42%) | 10 (59%) |
I think parts of the online platform are incorrect perception knowledge | 0 (0%) | 0 (0%) |
I have a general resistance to working according to protocols participation | 3 (12,5%) | 3 (18%) |
Fellow doctors (GPs) do not cooperate in applying the online platform—involvement | 3 (12,5%) | 7 (41%) |
Other doctors or assistants do not cooperate in applying the online platform—involvement | 2 (8%) | 4 (23,5%) |
Primary health care coordinators do not cooperate in applying the online platform—involvement | 3 (12,5%) | 4(23,5%) |
It is difficult to apply the ePrimaPrescribe platform … because I am not trained to use online platforms – work style | 2 (8%) | 2 (12%) |
Barriers due to patient characteristics | ||
Patients do not cooperate in applying the online platform readiness to change | 8 (8%) | 3 (18%) |
It is difficult to apply the ePrimaPrescribe platform to patients due to ethnicity—characteristics | 4 (17%) | 4 (23,5%) |
It is difficult to apply the ePrimaPrescribe platform to patients of low socio-economic background—financial situation | 5 (21%) | 2 (12%) |
It is difficult to apply the ePrimaPrescribe platform to older patients (> 65 years old) age | 6 (25%) | 3 (18%) |
It is difficult to apply the ePrimaPrescribe platform to patients that rarely come to the primary health care unit—number of patient contacts | 15 (62,5%) | 6 (35%) |
Barriers arising from the intervention context | ||
Working according to this online platform requires financial compensation | 1 (4%) | 1 (6%) |
It is difficult to apply the ePrimaPrescribe platform if there is not enough supportive staff—support staff | 3 (12,5%) | 4 (23,5%) |
It is difficult to apply the ePrimaPrescribe platform if the instruments needed are not available—equipment suitable for practice | 17 (71%) | 13 (76%) |
It is difficult to apply the ePrimaPrescribe platform if physical spaces are missing (eg consultation office with computer)—location of facilities | 16 (67%) | 9 (53%) |
It is difficult to apply the ePrimaPrescribe platform if physical space is lacking (e.g. consulting room)- location of facilities | 7 (29%) | 9 (53%) |
\({x}^{2}\) Pearson = 162,15 Pr = 0.130 Fisher’s exact = 0.012 | ||