Table 8.

Podiatrist in-depth interview results.

Podiatrist In-Depth Theme	Participant Quote
Health Coaching Package
Health coaching training session	“I think it (health coaching training package) was sufficient information. I understood it and was able…to implement it through what I was shown… I felt very confident.” Pod1 “I found the session engaging and quite informative and easy to follow in terms of developing and picking up some of those skills. Yeah, on reflecting from the sessions, I felt like I was confident that what I was teaching, in how I was interacting with the participants that they were up-taking those skills adequately.” Pod2 “it (health coaching training) definitely…did help me to reflect on a few things more generally and broadly within my practice.” Pod2
Written information	“…before the consultations, I was able to read and remind myself exactly what needs to be communicated to the clients… and how to educate the clients on how to look after their feet as part of the whole programme.” Pod 1 “I made sure I had most of the information (at) arm’s length, especially some of the Teach Back skills and health coaching aspects like the R.I.C.k. acronym… I had that…in my eyesight at most times to ensure I was covering through many of those points.” Pod2
Health coaching impact on podiatrist and participant relationship	“I think the relationship that I have with those clients has probably been enhanced as a result of that (health coaching intervention) as well.” Pod 1
Improvements to health coaching intervention	“…as far as I was concerned, I had done everything correctly (in issuing the insoles). I then found out subsequently that I had not calibrated them correctly… So, that may have been an issue as far as the initial calibration and the amount of alarms that some of the clients had. So, if there had been somebody there (supervising the initial consultation)…that would have changed the whole ball game as far as I was concerned.” Pod1
Attitude	“This is a technology (type)…I think will help in the long run. I don’t think this particular technology that I was involved in is what I could implement. But I think that this is a step in the right direction.” Pod 1 “Any use of technology such as this to help patients monitor their feet better to reduce their likelihood of ulcer recurrence, or yeah, basically any diabetic foot complication at all would be certainly a worthwhile thing to explore.” Pod 2
Performance Expectancy	“I think that the modality itself has good possibilities to assist with the monitoring and looking after of people with neuropathy, particularly people that have a history of, or at obvious risk of plantar pressure lesions. Obviously, we had to advise our clients that there are areas dorsally or medial or lateral of (the) foot…(the smart insole) is not going to be monitoring so don’t be complacent about things.” Pod 1 “Most of the interface being the smartwatch itself, the simple colour coding of the different pressure areas, the simplicity and the monitoring software and uploading the data. So, in that sense…I thought it was quite simple and the patients certainly seemed to understand and pick it up quite quickly.” Pod 2 “…in terms of the physicality of it, we did have some issues in terms of the structural integrity and strength of a couple of devices, with some of them being damaged. So, in terms of…long term provision and use for clients in a normal everyday context…it would require a great deal of care and might not be suitable for people who remain fairly active.” Pod 2
Self-Efficacy	“…after a while you know exactly what you’re doing, you know exactly how it works, and…exactly how long it’s going to take unless there was a complication. And even then, you know, you’ve dealt with lots of complications eventually. So those complications…they start to become easier to deal with as well.” Pod 1
Behavioural Intention	At the moment, I would not adopt this technology…But I see it in the long run is something that would certainly be worthwhile, particularly…in public positions where there are…clients that would require this sort of thing who are always at risk.” Pod 1 I’m not convinced in its current form or addition that it’s right to everyone, but not that any intervention would be right for every participant or patient. Pod 2 “In the exact format that it is right now…I would have some reservations about it. Being able to customize the sensitivity a little bit better, may be of great benefit.” Pod 2
Facilitating Conditions—cost	“…with experience, I believe this could be easily done within a standard consultation, maybe a slightly longer consultation. Yes, unless something goes wrong, then all bets are off.” Pod 1 “(Health coaching approach) probably didn’t make a substantial difference in terms of the overall consult time. You’re just probably spending time in different ways.” Pod1 “From my experience in private practice in a regional area there is no market for it (smart insole) in private practice. I can’t see anybody paying (thousands) for this. Not my clients.” Pod 1 “…if there was a possibility that this is going to be a technology that could be subsidised in some way for people that definitely do need this, then yes, it’s something that I would look at implementing.” Pod 1
Other technology	“if there was something else…that maybe also had thermal (sensors) that could tell you that there’s a hotspot rather than just a pressure spot…that’s going to communicate in a fashion that is easy for the person to monitor themselves without it being distracting …or overreacting all the time.” Pod 1
Social Influence—participant related
Anxiety	“I think that they were a bit scared of the technology. Probably three out of the five would have been a bit concerned that this technology…was a little bit out of their understanding…they found it was very tricky to work with.” Pod 1
Attitude	“they (participants) were very keen and are very hopeful that this modality could be used to improve the lives of people with diabetes, peripheral neuropathy…So, it was something that they were very keen to try and make work.” Pod 1
Self-Efficacy	“They (participants) were…easy to contact, easy to be involved with, long standing clients that I know and have a relationship with, and of an intelligence that could handle this type of modality…And that I think is probably something that needs to be primarily understood…” Pod1 “…the technology… wasn’t all that simple for them to get their head around, they had to understand quite a few things and they’re getting a lot of instructions and these are older people with less technology ability…” Pod 1
Performance Expectancy	“…my clients’ feedback particularly on their first review with me was that they found it clunky.” Pod1 “…one of the feedback that came through was surprise at how much they’ve (participants) been just doing nothing standing still and getting pressure on one spot. But there were certain things that seemed like…the alarm went off for no particular reason.” Pod 1 “From a consumer standpoint, I thought it (smart insole) was quite simple and the patients certainly seemed to understand and pick it up quite quickly. Pod 2
Effort Expectancy	“They also found that the alarms did go off a lot. That may have been associated with the calibration that we initially started with. On the first review, they came back…generally the feeling from just about everybody was that there were too many alarms…sometimes they didn’t know why they’re getting alarms…And, they found that did affect their lives…it affects their lives to the point they say, ‘I can’t use this technology for that reason if I have to stop every five to 10 min, or walk around for another two minutes’ …On the second week once…the calibration things (had) been sorted out…some of them seemed to settle down a bit (about the alarms) and they seem(ed) to be a bit more retrospect about it.’” Pod 1 “A number participants were getting quite regular and frequent alarms despite…resetting them and trying to recalibrate them often and reconnect, doing all the typical points to try and reduce that frequency. Just to ensure that they were actually getting more meaningful information about it.” Pod 2
Social Influence	“It is quite a knob that they have to wear on the top of their shoes, which is not a major problem, but it is something that obviously stands out. Some people said that they felt that people noticed it…for most there wasn’t a major consideration, but I’m sure that there are particularly some women that would not choose to wear something that sticks out…it’s not attractive.” Pod1

Identifier convention: Pod1 denotes the private arm podiatrist, Pod2 denotes the public arm podiatrist.