Table 4. Selected participant quotes related to each theme identified based on analysis of qualitative interview data (n = 30 interviews)
Views of participantsRelated themeSupporting quote(s)
Should ensure conversations were ‘routine and non-personalised’Theme 1. Core content of the decision aidI like that you can speak about the need to make changes, but can back this up with the advice from guidelines, you know, it’s not just me saying this. Patients understand who NICE [National Institute for Health and Care Excellence] are and are willing to listen to this.’ (Health professional 9, female)
Participants in favour of ensuring that there was a ‘quick pathway’ through the aid; continuity of care could be difficult; patients’ readiness to make lifestyle changes may vary over time; and identifying those willing to engage could be difficultTheme 2. Barriers to use‘… there could be a role for a longer version used where time allowed, or if used outside of a typical 10-minute primary care consultation.’ (GP 7, female)
I would think going back would be good, you could use it [the appointment] to check what you are or have been doing, but I guess you might not see the same doctor and you would just be starting again with someone else.’ (Patient 3, male)
Going through the tool without any engagement from the patient could be time consuming, unnecessary, and even detrimental to other aspects of care’ (Health professional 3, female)
‘... even in two or three minutes you might sometimes have an impact [on patients] but usually the ability to spend time to do this is restricted, or is restricted if patients really are only there for you to send them off with their tablets.’ (GP 4, male)
Information could help prepare people for change, but more support might be needed to motivate themTheme 3. Motivating factors for lifestyle change‘... I know what the benefits are, but it’s the next steps that are important, I think actually sticking to changes is much harder, and there is always something getting in the way.‘ (Patient 5, female)
Even brief information could be useful to patients at a later timeTheme 4. Implementation in primary care‘… people might not be ready to make changes at that moment, but they need to be reassured about the safety of slowly starting to exercise.’ (Patient support worker 2, male)
Patients could go through the aid themselves, prior to a consultationI think sending a link to the tool [before an appointment] could be very useful, when you have spoken to the patient about the issues, you could use that opportunity to follow up on that quite quickly. It makes me think about text-messaging systems we use for patients.’ (GP 3, female)