Table 2.

Framework analysis method with details regarding its use in this study.

Stage	Description	Procedure	Details of this stage in this study
1	Transcription	Audio-recorded interviews transcribed verbatim	EEa transcribed all 16 interviews verbatim.
2	Familiarization	Read transcript and listen to audio recording	SB, RD, and NB each read 2 of the first 3 interview transcripts, and EE listened to audio-recordings and read transcripts of all 16.
3	Coding	Read transcript line by line and apply a code describing why that section is important	EE, SB, RD, and NB independently coded ≥2 of the 3 transcripts. A priori codes (eg, item wording and clinician access) were predefined by EE based on the topic guide (deductive coding), and inductive coding was used for other potentially relevant topics.
4	Developing a working analytical framework	Researchers compare codes and agree a set of codes for subsequent transcripts	EE, SB, RD, and NB met and discussed their coding; differences were resolved and a working analytical framework agreed. The discussion was audio-recorded for reference and noted in the reflective journal.
5	Applying the analytical framework	The working analytical framework is applied to subsequent transcripts	EE recoded the first 3 transcripts and then coded the remaining 13 transcripts and feasibility diary using the working analytical framework; NVivo was used to manage this process. The framework was updated where necessary (eg, new code needed), with changes discussed periodically with SB, RD, and NB. A final framework was agreed, and EE recoded all 16 transcripts and the feasibility diary for consistent coding across the dataset.
6	Charting data into the framework matrix	Data are summarized in a framework matrix. Illustrative quotations are included	EE charted the data into 2 framework matrices: 1 containing a priori codes and the second containing a posteriori codes. Both matrices consisted of 1 row per participant and 1 column per code, with codes grouped into provisional themes and subthemes. Draft framework matrices were discussed by EE, SB, RD, and NB and updated as necessary for the final versions.
7	Interpreting the data	Researchers keep notes on analytical insights during the analysis process. The team discusses these insights periodically and works toward an interpretation of the data	EE kept notes in a reflective journal during analysis. Analysis meetings were audio-recorded, with notes taken. EE used the reflective journal to revisit previous ideas and consolidate these with new insights during analysis. Once the final themes and subthemes had been agreed by the whole team, EE drafted a write-up of the findings. The team critiqued the draft before agreeing a final version.

^aAll initials used in this table are author initials.