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Table 3 Facilitators and barriers related to acceptability, usability, and relevance of the mobile health application intervention as perceived by the providers and the users

From: Feasibility of early digital health rehabilitation after cardiac surgery in the elderly: a qualitative study

 

Facilitators

Barriers

Usability

User-friendly device

Visuals and interactive functionalities

Performance tracking and assessment

A structured and personalized programme

Sharing and discussion of experiences

Prompt and ample support

Text messaging capability

Subsequent phone consultations

Self-management abilities

Technological difficulties

Inadequate capabilities and apprehensionsb

Insufficient guidance or overwhelming information

Aversion to tasks or challenging assignments

Unacknowledged workload pressures

Overemphasis on physical activities

Deficiencies in self-disciplineb

Acceptability

Tailored to individual needs and preferences

Monitoring and achieving successful outcomesb

Recognition and appreciation of personal effortsb

Pleasure derived from physical activityb

A feeling of empowermentb

Sharing/joint responsibilityb

Availability for in-person conversations

Ensuring prompt and timely delivery

Punctual delivery

Well-defined/manual for delivery proceduresa

Coping with vulnerabilities experienced such as depression, fatigue, and anxiety

Experiencing a sense of obligation and pressureb

Absence of adaptations personalized to individual needs

Uncertainty regarding expectations, responsibilities, and roles

Inadequate involvement of and support from family members

Struggles and conflicts between patients and their relatives

Constraints on time during intervention delivery

Limited opportunities to address concerns related to well-being, motivation, and emotional aspects

Lack of cross-sectoral collaborationa

Relevance

Addressing the needs, preferences, and capabilities of both patients and their family members

Sustaining adaptability in daily routinesb

Convenient home-based approach (no transport required)b

Promoting awareness of and motivation for regular physical activity

Commencing exercise promptly after surgery

Reducing sedentary periods and enhancing exercise engagement

Incorporating meaningful activities

Cultivating positive interest and anticipating beneficial outcomes

Feasible as a complementary intervention

Exclusive emphasis on physical activity

Lack of insights into psychosocial, emotional, and existential aspects

Insufficient social interactionb

Extended hospital stays, post-surgery fatigue, and complications

Diminished energy, initiative, and motivation

Requirement for personalized in-person physiotherapy

Lack of coordination of delivery with concurrent activities and tasks

Lack of access to technology after end of intervention

  1. Only addressed by: aproviders or busers