Domain 1: Research team and reflexivity |
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Interviewer |
Researchers KB and KO will conduct the interviews |
Credentials of interviewers |
KB MSc Environmental Epidemiology and Policy |
KO MA English Literature |
Occupation of interviewers |
Researchers based in Department of Health Sciences, Seebohm Rowntree Building, University of York, Heslington, York YO10 5DD, UK |
Gender of interviewers |
Female |
Training and experience |
Researchers conducting interviews have undergone basic training in qualitative methods, and will be closely supervised and mentored by CCG/SG |
Relationship with patients |
Researchers may have conducted a baseline interview with patients prior to qualitative interview, or may not have met or spoken to the interview participant before |
Participant knowledge of the interviewer |
The research and purpose of the interview will be explained as part of the consent process with the participant |
Interviewer characteristics |
Interviewers conducting the qualitative study are members of the research team for the CASPER Plus study, thus potentially biased in their view of the intervention and trial |
Domain 2: Study design |
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Theoretical framework |
The qualitative exploration has some a priori assumptions; an initial thematic analysis using principles of constant comparison will be followed by analysis using the Normalisation Process Theory [42] in order to explore how the intervention might be incorporated into routine practice |
Sampling of participants |
A purposive sample of patient participants will be invited to be interviewed, ensuring variation in age (65 to 79 years and 80+ years), gender, research site. We invite patients who have completed the intervention and those who decline to participate in the trial and those who have ‘dropped out’ |
All CMs will be invited to be interviewed |
All GPs in participating practices will be invited to be interviewed, and sampling will ensure a mix of age, years in practice, gender, demography and size of practice |
Method of approach |
Potential patient participants were invited by mail which included a letter, information leaflet and consent form |
CMs were approached either directly or by email with information leaflet and consent form |
GPs were contacted by email or letter, with attached information leaflet and consent form |
Sample size |
Sample size of CM data set will be limited by number of CMs in the trial |
Interviews with patient participants and GPs will continue until category saturation is achieved in each data set |
Non-participation |
We will record how many potential participants who were invited declined to participate |
Setting |
CMs and GPs will be interviewed in their place of work |
Patient participants will be offered a choice of venue for the interview: home visit, GP practice, university office, other venue of their choice |
Presence of non-participants |
For patient participants, it is possible that spouses or carers may be present during the interviews |
Domain 3: Data collection |
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Interview guide |
The interview guide will be developed by the research team with reference to their previous work, the wider literature and through discussion of the study’s aims and objectives |
Repeat interviews |
No repeat interviews are planned |
Recording |
Interviews will be audio-recorded, downloaded and transcribed (anonymising the data at this point). The digital recording will be deleted |
Field notes |
Field notes will be kept by the interviewers, and discussed in research meetings. These notes will contribute to modification of the interview guide and to data analysis |
Duration |
A record of the duration of each interview will be kept |
Data saturation |
Interviews will be conducted until data saturation is achieved in each data set |
Transcripts returned |
We do not plan to send the transcripts to participants for comment |
Domain 4: Analysis and findings |
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Number of data coders |
Three researchers (KO, KB, CCG) will conduct data coding, with discussion of the coding at regular research meetings |
Description of the coding tree |
We do not plan to publish a description of the coding tree |
Derivation of themes |
Some of the themes will be a priori themes, anticipated from the wider literature; we anticipate that new themes will emerge from analysis of the data, specific to this age group of patients |
Software |
Software will not be used to organise the data |
Participant checking |
We anticipate that there may be occasional instances when we need to re-contact the participant to clarify some point in the transcript |
Reporting - Quotations |
We will use illustrative data extracts to support our findings |
Data consistency |
We will look for dis-confirmatory evidence as we conduct interviews and analysis. We will result such evidence |
Clarity of major themes |
We will present the major themes in any publications |
Clarity of minor themes |
We will present minor themes and dis-confirmatory evidence in our outputs, particularly in report to HTA |