Table4.
Constructs, salient semi-structured questions, and patient responses.
| Constructs/themes based on i-PARIHS | AFO interview questions | Patient statement/answers |
|---|---|---|
| Relative advantage | Have you heard of other things that could help and how does the AFO compare? | “They did help when I started wearing them and my health is worse now, so they got me the scooter. I use the scooter a lot.” |
| Compatibility | How well did wearing the AFO fit with your lifestyle? | “They’re a bit tedious with some stair steps and a bit tedious while driving but nothing I can’t handle. I wear them every day, but I only do it for about 15 minutes at night when I use the treadmill.” |
| Usability (Barriers: Physical discomfort and Poor health) | Tell me about anything that made it (makes it) harder to use your AFO? | “It cuts the inside of my foot. Yeah, I could try them more often, they still hurt my feet a lot. Going up and downstairs is really difficult because I can’t bend my ankle”. “I’ve had some medical problems and I’ve been in the hospital…I pretty much stopped wearing them.” |
| Observability | What were some of the benefits you could see from wearing the AFO? |
“But yeah, the walking I can go a little bit further with these on. So, they do help. And plus, ya know, they do help me stand up straight. And uh, I can walk straighter”. “It seems to help me walk a little better and feels more comfortable to walk.” |
| Cost-effectiveness | What changes, if any, in your out-of-pocket cost were associated with wearing the AFO? | “I had no extra cost with these braces…they took care of it”. |
| Trialability | Tell me about when you first tried the AFO. Were you able to test it out a little bit before you decided to use it? | “Oh yes, when I started using it, it wasn’t bad.”. |