Table 2.
Participant quotes to illustrate themes.
| Themes and participant quotes | Identifier | Date | |
| Performance expectancy—patient self-management and perceived usefulness | |||
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“I’d need a chart to interpret the results. There could be a high or low label and number, or a colour code. Like temperature checks; if it goes past a certain range you know to phone the hospital.” | PIa | November 2, 2020 |
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“I’d like to see the results, as I know my neutrophil count needs to be over 1 for my treatment to go ahead. Quick results would reduce my stress level.” | PI | November 9, 2020 |
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“I’m a nurse so I like to see my results as I understand what they mean. I run so I like to know how things are varying or stable. I monitor my results so that I know that I’m not being reckless to run.” | PI | November 11, 2020 |
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“It’s often given a lot of importance to the blood test but it’s about interpreting the results properly to avoid risks.” | HCPFGb | May 20, 2019 |
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“Anxious patients need to have it explained why they are being asked to do this kind of blood test; reducing the number of tasks required by the team and also the patient is key – support patient to interpretation. This is where the human factor is required.” | HCPFG | May 20, 2019 |
| Effort expectancy—benefits and challenges of self-testing | |||
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“It will be good to regain some control by testing myself” | PFGc | June 17, 2019 |
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“To get to the hospital means I have to take two buses...it’s not an easy journey and COVID makes me not want to get public transport. It usually takes around 90 minutes to have my blood taken; waiting around isn’t nice and makes me anxious. Testing at home would be much better.” | PI | November 2, 2020 |
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“I hate needles, so a finger prick test would be better.” | PI | November 12, 2020 |
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“It can be really difficult to get my blood as my veins are hard to find. I wouldn’t sleep the night before; it stresses me massively...most stressful part of the treatment.” | PI | November 11, 2020 |
| Effort expectancy—practicalities regarding the device and ease of use | |||
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“I’d value feedback that I’m doing it correctly.” | PI | November 4, 2020 |
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“It needs to be easy to use; if I can’t use it, I won’t use it.” | PI | November 2, 2020 |
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“Fewer steps will improve adherence.” | HCPFG | May 20, 2019 |
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“I would expect video format to get trained. Recording extra information will work well with the [NHSd Trust] way of working.” | PFG | July 25, 2019 |
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“I’m not bothered what it looks like, as long as it works.” | PI | November 2, 2020 |
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“I wouldn’t have it out on display; it would remind me I am a patient. I would hide it in a cupboard. The smaller and nicer it looks the better.” | PI | November 11, 2020 |
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“The test would need to be clinician led – the patient should not be able to test whenever they want to.” | HCPFG | May 20, 2019 |
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“We would not want patients self-initiating tests because they could become obsessive...they could test out of hours when nobody is there to see it.” | HCPFG | March 3, 2020 |
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“If a patient hasn’t done their planned test or has and it is grossly out of range, there needs to be a safety netting system to ensure this isn’t missed.” | HCPFG | May 20, 2019 |
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“What happens if device doesn’t work – would treatment be delayed?” | PFG | June 17, 2019 |
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“A clear pathway is needed with a back-up solution if device fails.” | PFG | June 17, 2019 |
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“If the device doesn’t work the patient should be advised to contact the hotline for clinical advice, while the company resolves the issue with the device.” | HCPFG | May 20, 2019 |
| Social influence | |||
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“I’d be concerned about elderly patients using the technology.” | HCPFG | May 10, 2019 |
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“What about those people who aren’t very tech savvy?” | HCPFG | May 10, 2019 |
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“Not everyone has internet at home, so would that mean they wouldn’t be able to use the device?” | HCPFG | May 10, 2019 |
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“Someone with poor dexterity may find [a test] tricky to do.” | PI | November 2, 2020 |
| Facilitating conditions—integration into current pathways | |||
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“A visual or audio reminder on the device about to take the test would be helpful.” | PFG | July 25, 2019 |
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“Being notified when the results have been seen would be really helpful.” | PFG | July 25, 2019 |
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“It’s really important patients receive confirmation that a test has been received.” | HCPFG | May 20, 2019 |
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“What happens if it’s a ‘bad’ result and no face to face option? That would make me very anxious.” | PFG | June 17, 2019 |
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“There needs to be time within the [clinician’s] job plan that is allocated to reviewing bloods taken on the device in order to ensure that results are reviewed in a timely manner.” | HCPFG | May 20, 2019 |
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“It is crucial to ensure results are not lost and are all reported on one system.” | HCPFG | May 20, 2019 |
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“Real time transmission of information is needed that can update all the scheduling systems to avoid future delays and issues.” | HCPFG | March 3, 2020 |
aPI: patient interview.
bHCPFG: health care professional focus group.
cPFG: patient focus group.
dNHS: National Health Service.