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. 2021 Mar 25;11:6874. doi: 10.1038/s41598-021-86326-8

Table 3.

Major and minor interview themes with illustrative quotes.

Major themes
Varying initial attitudes towards using a handheld fan as an intervention
 I thought it was very unusual yeah, “I wonder how a fan would work,” so that’s what interested me the most. I couldn’t quite understand the concept of how a fan would work. (P8)
 At the beginning, I was thinking, that’s a gimmick. (P27)
 I thought about past experiences, riding the motorbike, keeping your face cool—you can breathe better. Or driving with the window down in the car. So would imagine having a fan would be beneficial. (P29)
Benefits of using a handheld fan
 Just seemed to supply me with more air. Yeah, to get some air into my lungs. (P1)
 I feel, I feel like uh, example, when you sweat and have cold drinks I feel better. When I have this one, I am like uh, hard with breathing, when I put this one, after I feel I breathe easy and uh, body is more comfortable. (P10)
 It made me feel relaxed a bit more. (P17)
 I think that the fan is something that is, secure. It’s something that you can put in your brain that is secure for you. It’s like a backup kind of thing. (P18)
 I can use the fan in almost any place as long as it’s not noisy or intrusive. (P24)
Relative effects of handheld fans, oxygen, and inhaler therapies for symptom management
 The fan helps a little bit more with it, you know, to help me breathe a bit better quicker (compared to inhaler therapies). Use my puffer a little bit less actually. (P2)
 Not the same. The fan, it helps a little bit but, when I got really breathless, only the oxygen, oxygen helps more than the fan. I use the fan because it’s easier. (P4)
 I believe it (the fan) helped more when I didn’t have the oxygen connected to me than when I did. Certainly it helped me in both cases, whether I had the oxygen or not. (P9)
Minor theme
Challenges of using a handheld fan
 I’ve been to a lot of shops and, just can’t find any of these. All they have are those manual ones, that needs pumping. (P1)
 I didn’t want to be in the public using something like that. It’s just embarrassing. (P15)