Table 2 Qualitative themes of remote patient monitoring, organized by implementation facilitators/barriers across the CFIR domains
From: A CFIR-guided qualitative study of digital health engagement among Black adults with type 2 diabetes
CFIR Domain | CFIR Construct | Implementation Determinant | Theme | Supporting Quote |
|---|---|---|---|---|
Individual Characteristics | Individual Stage of Change | Facilitator | Increased Awareness of the Disease Process | I never knew that my blood sugar levels would fluctuate depending on what I ate that day. Now I try to monitor myself more (P898). |
Self-Efficacy | Facilitator | Growing Confidence, from Initial Skepticism and Fear to Empowerment | I was a little nervous, not going to lie… But I think my numbers have been maintaining a good place enough around the time that I do check it for them (P557). I learned and I’m more confident now (P604). | |
Intervention Characteristics | Design Quality & Packaging | Facilitator | Real-Time Feedback and Proactive Outreach from the Care Team | I liked that they actually were monitoring me because a couple of times I had a low or a high and I got a call (P268). |
Design Quality & Packaging | Facilitator | Ease and Usability of the RPM Device and System | I also liked that the strips and everything are automatically ordered. I didn’t have to go out and keep track of when I should get my test strips. They just automatically come. That was a bonus (P369) | |
Adaptability | Facilitator | Flexible Blood glucose Monitoring Frequency | I only need to stick myself once per day and five times a week. I didn’t have to do it even on weekends… It was much better. Because I didn’t have to stick myself on Saturdays and Sundays (P604). | |
Complexity | Barrier | Burden of Repeated Fingerstick Monitoring | Half the time, I get a little frustrated. When I prick my finger, it hurts. Then there are times when I am not getting blood to come out, or there’s not enough for the strip (P898). | |
Outer Setting | Patient Needs & Resources | Facilitator | Social and Familial Support | My dad – he’s been very supportive with all that’s been going on. He’s also kind of like a backup for them [RPM team]. So he’ll make sure I’m checking my blood sugar. He’ll remind me it’s time to check my blood sugar for the monitoring program (P557). |
Patient Needs & Resources | Barrier | Competing Life Demands | I’m always trying to do something for my mom. I’m the only son, so I have to start doing more to monitor myself too. I need to be more mindful about myself (P898). |
