Table 3.

Summary of Qualitative Feedback on Positive STEPS Program

Program element	Feedback breakdown (most common themes)	Example quotations
Community health worker	Positive—73 (Supportive, motivating, informative) Negative—5 (Scheduling sessions)	“She was very supportive and helpful in explaining the different steps of what I need to do or what I was going to get out of the session.” “She was kind and understanding and she was encouraging, inspirational.”
Website/videos	Positive—37 (Informative, accessible, helpful) Negative—10 (Difficulties accessing site the first time, connectivity issues)	“Gave me a lot of information and I’m still using it.” “I did enjoy the videos because after I listened to that week’s video, I was able to find other videos with more information. I did look at the external links and found some helpful. The videos were good.” “One time I could not get in, it was buffering. One time my phone was acting up and I could not see the video. Other than that it was okay.”
Participant workbook	Positive—34 (Writing down goals, reinforcement, resources section) Negative—2 (Workbook organization, resource expansion)	“It had the pages where you could write notes and your goals so I would do that and leave it open and look at it as I walked by.” “Reinforced what I was learning.” “Don’t limit to activities in Detroit proper.”
Activity trackers	Positive—10 (Motivating, useful) Negative—20 (Forget to put it on, forget to charge it, difficulties learning how to use a tracker)	“I enjoyed the activity tracker, it let me know if I need to be walking more. When it got low I knew I needed to do a little more walking.” “Remembering to put it on, that was my challenge.” “Because it was new I didn’t really understand it as well at first … After a while I got used to it and understood how to use it.”
Recommend program to others?	Yes—24 (Improved positive thinking, reduced chronic pain, informative) No—1 (Too elementary)	“It helps you think about your pain and the positive thinking does help and it helped my needs. It gets you moving if you were not moving and helps you realize that to get rid of the pain you have to do something. Move about, engage yourself and not dwell on your pain.”