Table 2.
Suggested changes made by patient research partners and the expert panel regarding the design and content of the intervention.
| Group | Platform design | Treatment content | ||
|
|
Identified suggestion | Modification | Identified suggestion | Modification |
| PRPsa | - Move the interview films - Include a chat function with the psychologist - Automatic message sent directly via email or SMS when something new is commented on in the portal |
- Interview video content moved to introduction - Chat function considered but currently not implemented - Feature under construction, to be added |
- Remove deadlines for homework tasks - Mandatory fear steps as opposed to only optional |
- Replaced with recommended submission date instead - First cardiac-related fear step made mandatory, with 2 steps as optional |
| Expert panel | - Shorten interview video content - Add a follow-up video of patient interview - Visual representation of intervention progress - Captioning of videos |
- Videos shortened - Video with patient with MINOCAb added to include an update posttreatment - Stepwise diagram created and added to each step - Text captions added to videos |
- Include measurements every step/week of the treatment - Add sleep-related content - Give a clearer message about exercise and physical exertion - Exposure therapy content that focuses less on habituation |
- GAD-2c and PHQ-2d questionnaire measurements added weekly - Addition of “things to think about” regarding sleep in step 4 - Short text added to clarify “mixed messages” around the benefits of exercise for those who can - The heart-related fear section slightly rewritten to be more in line with an inhibitory learning model of exposure [41] |
aPRPs: patient research partners.
bMINOCA: myocardial infarction with nonobstructive coronary arteries.
cGAD-2: 2-item Generalized Anxiety Disorder scale.
dPHQ-2: 2-item Patient Health Questionnaire.