TY  - JOUR
AU  - Schnoor, Kyma
AU  - Talboom-Kamp, Esther P W A
AU  - Hajtić, Muamer
AU  - Chavannes, Niels H
AU  - Versluis, Anke
PY  - 2024
DA  - 2024/5/10
TI  - Facilitators of and Barriers to the Use of a Digital Self-Management Service for Diagnostic Testing: Focus Group Study With Potential Users
JO  - JMIR Hum Factors
SP  - e45115
VL  - 11
KW  - eHealth
KW  - usability
KW  - self-management
KW  - diagnostic test service
KW  - diagnostic
KW  - testing
KW  - test service
KW  - perspective
KW  - focus group
KW  - user need
KW  - user testing
KW  - implementation
KW  - qualitative
KW  - test result
KW  - laboratory test
KW  - laboratory result
AB  - Background: Health care lags in digital transformation, despite the potential of technology to improve the well-being of individuals. The COVID-19 pandemic has accelerated the uptake of technology in health care and increased individuals’ willingness to perform self-management using technology. A web-based service, Directlab Online, provides consumers with direct digital access to diagnostic test packages, which can digitally support the self-management of health. Objective: This study aims to identify the facilitators, barriers, and needs of Directlab Online, a self-management service for web-based access to diagnostic testing. Methods: A qualitative method was used from a potential user’s perspective. The needs and future needs for, facilitators of, and barriers to the use of Directlab Online were evaluated. Semistructured focus group meetings were conducted in 2022. Two focus groups were focused on sexually transmitted infection test packages and 2 were focused on prevention test packages. Data analysis was performed according to the principles of the Framework Method. The Consolidated Framework for Implementation Research was used to categorize the facilitators and barriers. Results: In total, 19 participants, with a mean age of 34.32 (SD 14.70) years, participated in the focus groups. Important barriers were a lack of privacy information, too much and difficult information, and a commercial appearance. Important facilitators were the right amount of information, the right kind of tests, and the involvement of a health care professional. The need for a service such as Directlab Online was to ensure its availability for users’ health and to maintain their health. Conclusions: According to the participants, facilitators and barriers were comprehension of the information, the goal of the website, and the overall appearance of the service. Although the service was developed in cocreation with health care professionals and users, the needs did not align. The users preferred understandable and adequate, but not excessive, information. In addition, they preferred other types of tests to be available on the service. For future research, it would be beneficial to focus on cocreation between the involved medical professionals and users to develop, improve, and implement a service such as Directlab Online. 
SN  - 2292-9495
UR  - https://humanfactors.jmir.org/2024/1/e45115
UR  - https://doi.org/10.2196/45115
UR  - http://www.ncbi.nlm.nih.gov/pubmed/38728071
DO  - 10.2196/45115
ID  - info:doi/10.2196/45115
ER  -