Table 3.
Major themes of the qualitative results for the intervention-related barriers and facilitators pertaining to internet-based intervention (IBI) content from participants’ perspectives (mentioned by at least 4 participants; N=40).
| Categories | Participants | Definition | Supporting quotations | ||||
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Values, n (%) | Number of excerptsa |
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| Intervention-related barriers, IBI content (n=5)b | |||||||
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Unhelpful content | 11 (28) | 18 | Participants perceived the IBI content as unhelpful, uninformative, and uninteresting. | “Well, there was one or the other exercise that...I liked less or where I had less interest in it...when there are several exercises, that there is always a favorite and there is one that you don’t like so much.” [Interview 26] | ||
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Impersonal or static content | 10 (25) | 23 | The content of the IBI (eg, specific exercises and questions) was perceived to be static, as in not being tailored to the participant, not addressing personal problems not, or not providing the option to select or deselect topics. | “It’s not very personal, it’s a machine.” [Interview 5] | ||
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Missing key topics or unappealing focus | 5 (13) | 11 | Participants mentioned that key topics were missing (eg, IBI content on dealing with aging in the green professions and IBI content with movement and sports exercises) or that they found the focus of the IBI (eg, on psychological support) to be unappealing. | “For my needs, I’m telling you, I was concerned with chronic pain, not psychological support.” [Interview 4] | ||
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Level of requirements being perceived as too high or low | 5 (13) | 8 | The level of requirement was perceived as too low (eg, if IBI contents were already known before the start of the IBI) or too high (eg, if the person was severely ill). | “...I think it fit for mild cases who only feel overwhelmed now and then.... Whether it is fitting for someone who is on the verge of burnout, I dare to doubt that.” [Interview 30] | ||
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Difficulty in identifying with exemplary personas | 4 (10) | 4 | Participants reported difficulties in identifying with the exemplary personas described in the IBI modules. | “...In the first two lessons, there was always a reference to these people that you introduced. One of them was pushed by a bull.... Well, I don't know if I could be pulled down like that by such an accident....” [Interview 4] | ||
| Intervention-related facilitators, IBI content (n=4)c | |||||||
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Helpful content | 14 (35) | 20 | Participants perceived the content to be helpful, informative and interesting. | “I found, the information about the disease VERY helpful or, well. I found it informative and educational!” [Interview 29] | ||
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Engagement with one’s problems | 12 (30) | 15 | Participants found it helpful to reflect on themselves and their problems, to become aware of their problems, and to do something good for themselves. | “It just did me good to deal with myself again. That I, um...consciously do something for myself.” [Interview 38] | ||
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E-coach support | 6 (15) | 9 | Participants perceived the personal contact, the exchanges with the e-coach and the feedback from the e-coach as helpful. | “The contact with the e-coach helped. That you always get feedback, questions and...notice that the [incomprehensible] are appreciated, which you have done....” [Interview 34] | ||
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Perceiving the IBI as a further health care approach | 5 (13) | 7 | Participants perceived the IBI as a new, eventually promising treatment option. | “I think it’s a super great thing because you just don’t get anywhere with other things and it’s a good way to A) deal with the issue and B) deal with broader issues too.” [Interview 13] | ||
aTotal number of excerpts, including multiple mentions from the same persons.
bFactors related to the IBI content (eg, specific exercises), that made it difficult to participate in the IBI.
cFactors related to the IBI content (eg, specific exercises), that made it easier to participate in the IBI.