Table 4.

Qualitative themes and supporting quotes

Theme	Supporting Quotes
Theme 1: Overall Benefit	□ “Absolutely – keeping in mind that there are resources available when you need it, whether internal or external, to help you through.”
	□ “Got a lot [out of it]. The active coping, dealing with stress, identifying your stressors. Feels so much better when you get rid of [stress].”
	□ “The relaxation piece was the most helpful. Taught me new ways to relax-and it worked.”
	□ “Active coping… gave you a framework for evaluating your issues to be able to deal with them. I like the proactive aspect about them.”
	□ “[The program was] a refresher of things I already knew, but [it was] good to be reminded.”
	□ “It definitely changed my QOL. When I look at modules and speak with my wife about it…good for both of us.”
Theme 2: Interpersonal Aspects	□ “[The phone call] wasn't like a doctor visit- it was more personal. I looked forward to it. When you're sick, personal contact is important.”
	□ “[The program] made me realize I'm not just sitting in a hole by myself. It made me feel more connected to others with HF and other people in my life.”
Theme 3: Spirituality	□ “I think [spirituality] is what heals you most. Medicine will only get you so far.”
	□ “I am just an atheist/realist – other people might benefit from it.”
	□ “[The spirituality component] was good. Not too in depth. Beliefs were general. Left room for people to think about their own beliefs and what it means for them.”
	□ “It was helpful but I wanted it to have more scripture.”
	□ “[Including spirituality] should be dependent on the baseline questionnaire. If a person is not at all spiritual, then no. It might offend them. If they are, then yes.”
	□ “[Including spirituality should] depend on the person. You should directly ask if being diagnosed with HF has turned you more towards God/spirituality. If yes, then include.”