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. 2021 Aug 12;8(8):e29671. doi: 10.2196/29671

Table 2.

Themes, subthemes, and categories.

Themes and subthemes Categories
Creating safety and comfort

Trusting in the relationship
  • Trusting workers—feeling safe

  • Determination to keep service users engaged

  • Equalizing power—mutual learning (and we are all in this pandemic together)


Matching service offering with service user need
  • Getting what I need (or not)

  • Not getting practical support

  • Recognizing and responding to the nature of distress

  • The pros and cons of different platforms for different needs


Having and exercising choice and control
  • Options made explicit; choices offered

  • Choices in platforms

  • Choices in ways and timing of engagement

  • Choices in content/focus


Spaces and strategies that enable privacy and safety
  • Private spaces to talk freely

  • The value of physical therapeutic spaces

  • Flexibility required for privacy and safety

  • Digital security not really a concern

  • Having time creates a sense of safety

A whole new way of working

Doing things differently
  • Following the rules or making up the rules as we go

  • Trying things out—Learning as we go and “winging it”

  • Shifting assumptions about “good practice”

  • Service users and workers showing flexibility


Good practice in telehealth takes time, effort and organizational support
  • Building skills and confidence

  • Developing and adjusting to new ways of working

  • Resourcing workers

  • Resourcing service users