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Table 1 Categories and sub-categories

From: Why patients decline participation in an intervention to reduce re-hospitalization through patient activation: whom are we missing?

Category

Sub-category

Examples of stated reasons

No need for the intervention

Having enough support

Has home healthcare that are responsible for his medications and has social services. Thinks that this is enough support

Thinks that she has enough support from her children and grandchildren. Two of the children are physicians who help her. Says that she is fortunate in this sense

Having no need for support

Doing just fine at home

Has been to therapy a couple of years ago and then got all the tools he needed to change things in his life. Has no need for any support

The study concept not suiting the patient

Talking doesn’t help at all

I have participated in similar things before and it didn’t help at all. Not interested in talking about my situation

Not believing they have the diagnosed disease

Doesn’t think that she has COPD

Doesn’t feel ill at all and questions that she really has COPD; the study doesn’t seem relevant to her based on this

Can’t manage more tasks

Being too sick

Doesn’t have the energy. Too ill right now. Maybe another time

No energy and a lot of trouble with breathing. Gets really tired and breathless by talking on the phone

Not having time for more illness-related activities

Has too many activities scheduled with her COPD; does not want to have more on her schedule

Has too much with her dietician, physician, nurse, and so on. Feels stressed over all this; does not want any more stress

Taking care of sick relatives

Has too much to do with her husband who has dementia

Her husband with Alzheimer’s lives at home with her. He doesn’t want to move and doesn’t want any help from others. She doesn’t want to add any more tasks

Not trusting their own ability to participate

Says that he doesn’t understand everything, doesn’t have the energy to participate, and has trouble hearing

Has had a stroke which has affected his cognitive abilities; doesn’t want to participate based on this

Being in a crisis

Has just got her diagnosis and is upset over this and the situation of her husband, whom she has cared for until now

A close relative just passed away

Other

Refusing because this was a research study

Has already participated in two research projects; doesn’t have the energy to participate in one more

Doesn’t like questionnaires

Practical reasons

Will be out of town for a few months

Doesn’t live in Sweden

Unknown reasons