| Illustrating quotes |
---|---|
Intervention guiding principles | |
 Depression and anxiety are key topics but could be introduced via breathlessness | I think they most often talk about symptoms like breathlessness, rather than saying that they are anxious or depressed. (HCP006 Physio) Terminology is important such as ‘dealing with’ ‘living with’ (patient) |
 The Intervention should be tailored/flexible to individuals | It’s just that patients are all different, and therefore present very differently and the intervention has to be tailored individually to what they are presenting with. (HCP003, psychologist) |
 Sessions could be offered at home, or clinic but there may be limitations to the latter, accessibility is key | So I think having the capacity to start off at home is certainly a good idea. I think just something about accessible locations. (HCP002, Psychologist) |
 Clear expectations and boundaries should be set at the start of the intervention | So there needs to be quite clear boundaries about what the intervention offers and does not offer.(HCP006, physio) |
Implementation guiding principles | |
 Delivery by respiratory professionals rather than psychologists is preferable | It feels important that other members of the healthcare team are being trained up in these approaches. That can only be a good thing… (HCP003,psychologist) |
 Some selection and training of facilitators will be needed | A lot of people would be attracted to this, but it’s not for everyone to deliver.(HCP005, physio) What training would this nurse have? (Patient) |
 Supervision of facilitators delivering the intervention is essential and should be ongoing | I think that’s important.[supervision] (HCP005, physiotherapist) |
 The intervention must be deliverable and supported by management | There’s no point evaluating it if it’s not something that’s going to be deliverable. (HCP FG001 Doctor) |
 The intervention should be able to account for patient breaks due to illness | ...that’s important, and you have to acknowledge if they are not feeling well, we have to assess it and make sure that they get the right treatment. (HCP005, Physiotherapist) Timing is important’(patient) |