Table 5 Key feedback and decisions from qualitative interviews conducted during pilot and feasibility study
Feedback | Make changes | Rationale/comments |
|---|---|---|
Limited engagement with CFHealthHub outside of visits with the interventionist | Accept | To address this, we prioritised the development of the CFF app for the trial (must have) and we added tools to encourage engagement, i.e. push notifications sent from the app each Monday congratulating participants on meeting their target or encouraging them to start again. We also added a reminder message sent if CFHH had not been accessed for a period of 2 weeks. |
Fewer interventionist sessions were delivered than anticipated | Accept | We devised a clear intervention pathway that indicated the frequency, interval, and pattern of intervention sessions for each participant for the trial. |
Limited delivery of some key BCTs by interventionists | Accept | Modify interventionist training and handbook and create worksheets to follow. Monitor delivery of key BCTs during trial. |
Changes to the target line changed the target line for all time periods | Accept | Keep and show historical target lines, and traffic light system in response to the specific targets at a specific time-point. |
Lack of faith in the validity of the adherence data by participants and interventionists | Accept | Some initial problems with the pairing of devices caused some issues with data at the beginning of the pilot trial. High quality control to ensure effective pairing. Some cases the data appeared correct. Created further training and protocols on missing data and how interventionists should response to scenarios in which the validity of data was questioned. |
Some participants did not want to watch videos of other people with CF. Making social comparisons was threatening. | Accept | Inclusion of ‘talking heads’ videos made an optional part of the intervention. |