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Table 3 Quotes pertaining to intervention acceptability (RQ4)

From: Electrically assisted cycling for individuals with type 2 diabetes mellitus: a pilot randomized controlled trial

Participant quotes

a

‘It didn’t matter because it was going to be something that would eventually happen. In one way I was looking forward to trialling the bike but it’s something that’s going to happen in the future’ (Control, Male)

b

‘I never thought I would enjoy bloodwork so much as I did with the staff. They were great’ (Control, Female)

c

‘I think for the charts, there were some days where I did multiple journeys, and was really here, there and everywhere. There wasn’t enough space’ (Control, Female)

d

‘The exercise tolerance one, I took trying to get to the maximum seriously. So that was, on both occasions, quite an effort’ (Control, Male)

e

‘I never felt comfortable with the bike that I was given because I found the frame too high’ (Intervention, Male)

f

‘That was really useful actually because I was a bit, you know, “I don’t need to do this,” kind of, thing “I’ve always cycled, I don’t need to be shown what to do.” But it was actually quite useful just to do some basics’ (Intervention, Male)

g

‘Yes, it was pretty good, it reinforced the road awareness that I think is quite important, particularly if you haven't ridden a bike for a while. I feel that was very good at pointing out what you should do at junctions and double checking you're aware of everything and making sure you were looking both ways’ (Intervention, Male)

h

‘[the instructor] was excellent. They did it in stages. You progressed out into the little space they’ve got round the Centre. Once you were fully competent you went out and ventured more to where the bus route is. Then in the end we went round XX and I don’t think I would have ever cycled around XX without [the instructor]’ (Intervention, Female)

i

‘Tell me about the training you received? ‘Which I didn’t get….. I jumped on the bike, rode up and down 50 yards each way “Right, that’s fine, thank you very much” I mean, I wasn't there much more than about 40 min, then I took the bike home, which took me by surprise’ (Intervention, Male)

j

‘We did the 45 min on road and cycle paths. Yes, it was good. Not really necessary, but it was good to do. It was silly little things. When I was following him, we went down a one-way system the wrong way, but it was perfectly fine because the roads are actually saying “bikes allowed” on it. It was just little technicalities, you’re thinking, “Well, is that right or not?” but obviously it was. It’s just to reassure yourself and I asked a few little questions, so it was just putting my mind at rest really. (Intervention, Male)

k

‘I’d lock it up, I’d be less worried about if it got stolen, because it’s, like, mine, so I could do something about it, you know? I haven’t got to explain to someone else how I managed to lose a bike’ (Male, Intervention)

Instructor quotes

l

‘I think it was good to vocalise them [barriers to e-cycling] and discuss them. I felt people felt that having that discussion was useful. It made them think about the barriers. It made them feel that their concerns were being listened to. So we weren’t just going, “Here’s a bike, get on with it.” (Instructor 02)

m

‘Obviously there is a wide range of skills and confidence levels of the people participating, but it felt like it was set up in such a way that you can quickly breeze through all the skills stuff for people who are relatively component’ (Instructor 03)

n

‘I’d say that not everything was applicable to everyone. It seemed like there were some redundant sections that still needed to be filled in even though it wasn’t relevant for that person’ (Instructor 01)

o

‘We kind of all just were like ships in the night, passing each other at different times. Or, if we did see each other, we were working, so we didn’t get much chance to sit and discuss stuff. I think if you were doing it again it would be good to have a pool of instructors and get them together at the beginning, to have a little chat, and then get them together after the first batch of people has gone through the programme to discuss stuff, as well’ (Instructor 02)