Table 4.

Key theme 3 – posttraining support needs

Master theme	Subtheme	Example
Undertaking assessment of competence	Observations	“It’d be quite useful to know that you were going about working with [the manual] in the right way but I can’t think of how you would assess that other than having someone watch you with a patient and then give you feedback on it” [Physiotherapist, secondary care]
	Face-to-face reviews	“[We need] a month’s review to see how we’re getting on with using [the manual] and then whether we need any further training from that” [Physiotherapist, secondary care]
Follow-up support	Group sessions	“They’re usually done in small groups, the diabetes ones are, and it would be good to do the same for COPD, just small groups” [Practice nurse]
	Updates	“If there’s any changes, any updates, anything new that’s happening, that would be quite good online […] just to keep informed of what’s going on really in the service” [Community respiratory nurse]
	Expert advice	“I think you’d need […] a person that you can contact if you’re struggling with any component of the manual once you’re out there running it yourself” [Research physiotherapist]