Table 2.

Semi-structured focus group script domains and questions

Domains	Questions
1. Clinical flow	How would you describe the “clinical flow” in the outpatient orthopedic trauma practice to someone unfamiliar? Is there any variability within this typical patient flow? How does the current clinical flow suit your work style and preferences?
2. Past experiences implementing clinical innovations	What do you think about implementing clinical innovations as part of clinical care for people who seek care in outpatient orthopedic trauma clinics? Can you recall any clinical innovations that were implemented that were successful or unsuccessful, particularly if you have an example from recent years?
3. Perceptions of barriers/facilitators to patient recovery	What do you consider a “good outcome” for your patients? What are some patient factors that might impede recovery in your patients? What factors help your patients recover well?
4. Perceptions of psychosocial needs of orthopedic patients	What comes to mind when you think of the terms “psychological, mental health, or behavioral concerns”? How often do you notice psychological, mental health, or behavioral problems in your patients? Do you formally assess or screen patients for psychological problems? What do you think about the role of these factors in the recovery trajectory of your patients?
5. Comfort addressing psychosocial factors in orthopedic trauma patients	How do you address mental or behavioral health problems that you notice in your patients? Do you ever refer or initiate the connection of patients to mental or behavioral health services? What mental and behavioral health resources are you aware of that are potentially available to your patients? What would be an ideal scenario for addressing mental health factors for your patients?
6. Barriers and facilitators to psychosocial care integration within orthopedic departments	How supportive are you of integrating psychosocial care within the orthopedic practice? What do you see as the most significant barriers to the integration of psychosocial care within orthopedic departments?
7. Individual exit interview (optional)	Is there anything that you would like to share relevant to the discussion from the focus group that you did not share in the focus group for any reason? How was your experience in the focus group today?