Dr. Ian McCabe:

There are any number of different barriers. Where there is a need, those barriers are easy to overcome. We have patients in their 80s who are whizzes on the apps and are taking their blood pressure and other measurements. It is no bother for them because they can see the benefit. It avoids a potentially hazardous trip they would otherwise have to take. We are taking a whole-of-community approach whereby we are trying not just to treat chronic conditions but also to engage people in health promotion activities. We are trying to do that through a number of apps. There is perhaps a little fatigue when you introduce another app and another app and there is no direct benefit to it. What is more useful is the fact that the younger and the older people are all engaged in this together. When we have engaged the entire community, we have done blood pressure, blood lipids and everything else, and everybody is there as a group talking about it together. It is not necessarily a private thing that is hidden between you and your doctor in an envelope you get and look at in your room and say, "Oh no." It is something you talk about with your neighbours and friends. That part, I think, has been successful in terms of the technology adoption. We are really working to streamline the technology, the software packages, the apps, but again, it is a learning curve. We hope to iterate as well in respect of the Clare Island project. We are in the contracting phase right now. We will do something similar on Inishturk and Inishbofin, and for that one we will have a cleaner, smoother roll-out. We hope that from there we can roll out to other islands, while learning at each stage. There is not any one specific thing, but need drives adoption. That is for sure.