Box 1.
Selection based on varying social and medical problems
| I’ve purposefully chosen them to be different eh eh in terms of what their backgrounds are and their problems and the demographics of them eh as well. They have all got … different problems and I did that purposefully because I didn’t want to do the same for everybody that that came in …it’s an experiment if you like. | |
| (Practice B, Meeting 1, GP Participant 2) | |
| Selection based on relationship continuity or perceived ‘readiness to engage’ | |
| The first patient was basically an emergency patient who had a stroke recently …when I offered the slot it was a bit more about continuity of care. …(Second patient) is quite a strong character and again possibly I chose her because I felt she was ready to engage and change … (third) she is somebody we know parts of the family and none of them really engages a lot em and for me it’s more as well signalling ‘I’m your doctor now and you can come to me with anything. | |
| (Practice A, Meeting 1, GP Participant 1) | |
| Selection based on desire to find a better way of working with known patients | |
| They are all patients that I see regularly with em I feel I’ve got a long list of … deal of things I always want to deal with and never quite have time to deal with them all properly …But they are all they are all kamikaze (laughing) heart sink patients … It would be really nice to have more time to deal with them in a better way. | |
| (Practice A, Meeting 1, GP Participant 3) | |
| Invitations elicited mainly positive responses from patients | |
| Patients are very positive about it. I think I haven’t had single ones who has turned down the suggestion. | |
| (Practice A, Meeting 1, GP Participant 1) | |
| I have. But yeah …very near (laughing) and a few others. But that I think maybe the patients who have turned down have been intimated by the idea of research because of their own literacy problems … Or the fact that they just haven’t got, with the burden of illness, they haven’t got time to give us more time. They haven’t got time to spend more time with us or to spend time with a researcher. | |
| (Practice A, Meeting 1, GP Participant 3) | |
| Invitations to participate were repeated for some patients | |
| He was … adamant that he didn’t want to take part in this study but he still kept his appointment yesterday and basically the reason that he didn’t want to take part was he has literacy problems em and that’s a real barrier, and self-esteem issues as well. | |
| (Practice A, Meeting 2, PN Participant 1) |