| Intervention | Feedback | Response |
|---|---|---|
| MOXIE/Self‐Management Education | Daily email contact was excessive | Email frequency was changed to 2 times per week |
| Daily website cards/email were often repetitive | Additional content was created | |
| Messaging was too focused on medications | New content focused largely on health behaviours and other aspects of self‐management | |
| Paper‐based mailers were appreciated more than electronic communication | Electronic‐arm participants began receiving weekly mailers, just like paper‐based participants | |
| Pedometer quality was poor |
Added a higher quality pedometer that participants received at the 1‐year mark. This upgraded pedometer was sent to participants as a replacement if their first pedometer broke |
|
| Activity‐based messaging was not relevant to those with physical limitations. | More inclusive/less judgemental language was used in messaging around physical activity | |
| Facilitated Relay | Patients were unclear what they were to do with the letters and why bringing these letters to their providers was important | A note was added to the exterior of the facilitated relay envelope, which provided details on the importance of bringing these letters to physicians and pharmacists |
| Patients felt that their providers were not interested in the messages contained in the letter |
Changes were made to the letter to highlight the importance for providers |
|
| Copayment Elimination | Some relevant cardioprotective medications were not automatically covered (when new additions were made to the formulary) | Procedures were put in place to review the drug formulary and add relevant medications to the study plan as they came onto the formulary |
| Patients wished to have self‐monitoring supplies and other medications covered | No changes were made to address this concern | |
| Some patients were not entirely sure which medications were and were not supposed to be covered | Comprehensive and up‐to‐date medication lists were then sent to all new participants randomized to this intervention | |
| A small number of patients had problems getting their coverage through their existing plan. | We informed participants that our study team was available to help sorting out this problem, when necessary. |