Analysis
SHT
STS
Each transcript was checked for accuracy against the recording. Data analysis was conducted following the framework method [Two investigators (SHT and EALC) read and re-read the transcripts independently to familiarize with the data and independently coded the data. SHT is a research fellow with a master’s degree in public health and EALC is a research fellow with PhD in Communications. Data were analyzed inductively to examine the perspectives of different participants, highlighting similarities and differences, and generating unanticipated insights [The themes were further mapped to the dimensions of the socio-technical systems (STS) model to understand the relationships between the sociotechnical aspects of the intervention [(1) Hardware and software – This dimension focuses on the technical aspects required to run the applications, including the physical equipment and software.(2) Clinical content – This dimension considers the data collected that are useful for patients and HCPs to manage patient care and inform clinical decisions.(3) Human-computer interface – This dimension includes aspects of the system that users can see, touch or hear as they interact with the application.(4) People – This dimension represents the patients and HCPs who are involved in the implementation and use of the intervention, and how the intervention helps them think and makes them feel.(5) Workflow and communication – This dimension focuses on the interaction between the patients and HCPs to accomplish patient care as well as the impact of the intervention on the HCP workflows.(6) Internal organizational policies, procedures, and culture – This dimension can affect every other dimension in the model, as organizational policies and procedures can affect the availability of hardware and software and clinical workflows related to the intervention.(7) External rules and regulations – This dimension focuses on the external regulations and priorities that can facilitate or impede the implementation and use of the intervention.(8) System measurement and monitoring – This dimension focuses on measuring and monitoring the availability, usage, effectiveness and outcomes of the intervention regularly.Socio-technical systems (STS) model by Sittig and SinghThe latter two dimensions were omitted from this study as the analysis did not find any relevance of the data to these dimensions.NVivo 12 (QSR International Pty Ltd) was used for data management and analysis. This study is reported according to the Consolidated criteria for Reporting Qualitative research (COREQ) checklist [