Skip to main content

Table 4 Mapping to the characteristics of an innovation likely to affect its adoption

From: Implementing telemonitoring in primary care: learning from a large qualitative dataset gathered during a series of studies

Characteristic of the innovation (from Rogers (1995) The diffusion of innovations) [19] Positive findings from this study Negative findings from this study
Relative advantage (the perceived efficiencies gained by the innovation relative to current tools or procedures) • Convenience
• Empowerment
• Confidence
• Motivation
• Better measurements
• Could potentially reduce workloads
• Anxiety/dependence in small numbers of patients
• Professional concerns about creating dependency
• Concern about workloads
Complexity/ difficulty to learn • Most patients found telemonitoring easy • Professional interfaces complex
• No clear signals for professionals in COPD data
• Lack of intelligent decision support
Compatibility with the pre-existing system • Preference for adoption within current system which influenced later implementations • Lack of fit of professional system interfaces with workflows within practices
• Concern about roles
Trialability or testability • High –particularly for patients  
Potential for reinvention (using the tool for initially unintended purposes) • Patients used data to manage day to day activity  
Observed effects • Higher workloads – reduced with learning and external drivers such as pressure on the system.
• Patients using data to support self management.
• Increased responsibility for the patient in study 7 was acceptable
• Limitations and extra work created by system design
• Empowered patients bypassing nurses or therapists, particularly with regard to prescribing