| Barriers | Facilitators | |||
|---|---|---|---|---|
| Category | First iteration (n = 7) | Second iteration (n = 6) | First iteration (n = 7) | Second iteration (n = 6) |
| System: Features governed by policies, regulations or operational demands of the health care system. Examples | 17 (25.8%) Participants’ lack of knowledge regarding pain screening tools. | 12 (21.4%) Participants’ lack of knowledge regarding interpretation of pain screening scores. | — — | 4 (8.2%) Explanations on tools found to be very helpful. |
| UI: Graphical presentation of content including layout, ease of navigation and data entry fields. Examples | 28 (42.4%) Locating patient education resources in encounter guides was not easy. | 22 (39.3%) Empty fields added clutter to the main page. | 7 (16.7%) The visual presentations (i.e. size and style of font and colour) of Pain Assistant were pleasing. | 17 (34.7%) Ability for enlarging and minimising questionnaires in encounter guides found to be helpful. |
| Content: Clinical aspects of the MPA (e.g. quality of medication list) Examples | 15 (22.7%) Pain Assistant does not present any history of pain diagnosis. | 20 (35.7%) Numeric ICD-9 codes were not explicit. | 29 (69.0%) Plotted trend of changes in pain scores helped to identify pattern of pain. | 28 (57.1%) Pain Assistant offers different management strategies for different types of pains rather than only medication therapies. |
| Technical: Software functions such as ability to save; broken link) Examples | 6 (9.1%) Pain Assistant did not save automatically. | 2 (3.6%) When clicking on tools in Pain Assistant, the new pages are big and not resizable. | 6 (14.3%) Auto calculation of the scores. | — |
| Total | 66 | 56 | 42 | 49 |