Table 2 Barriers and facilitators—intervention characteristics according to CFIR framework (Source: own depiction)

General characteristics

 Barrier

• Technical errors

• No access to internet/computer/smartphone

Relative advantage

 Facilitator

• Timeliness of data transmission and clinicians’ actions

• Time effective

• Less burdensome/fatigue

• Reduced travel time and distance

• More comfortable at home/advantage of real-life setting

• Telemedicine as only option to receive care

• Improved monitoring/communication/care coordination

• Not feeling abandoned (during pandemic)

• Disability prevents patients from in-person appointments

• Clinics unequipped for patients’ disability

• Appointments more effective due to remotely collected data^a

• Patients/Caregivers more honest via telemonitoring device^a

 Barrier

• Less informal personal contact

• Lack of privacy

• Lack of physical contact

• Feeling trapped in the house

• Less personal

Adaptability

 Facilitator

• Adaptability to own schedule

• Individualization of mode of communication

Complexity

 Facilitator

• Low burden of intervention

• Clear understanding of difficulty/complexity

• Number of sessions

• Breaks during session

• Daily reminders

 Barrier

• Long sessions

Design Quality & Packaging

 Facilitator

• Easy to fixate and wear

• Accessible packaging

• Aesthetical pleasing

• Pictures in instructions

 Barrier

• Small keys/Insensitive touch panel

• Not bite-proof (for children)

• Noise

Cost

 Facilitator

• Potentially cost saving

 Barrier

• Technology too expensive