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Table 2 Protocol discussion groups

From: Healthcare providers’ views on the delivery of preconception care in a local community setting in the Netherlands

Time Phase Activity
Part 1: Bottlenecks
5 min Introduction The moderator introduces him/herself and invites the participants to introduce themselves shortly by providing their name, current job position and employer.
5 min Introduction The moderator gives a short explanation about the procedures during the discussion group:
- Role of the moderator
- Conversation rules
- Use of flipchart and post-its
- Structure: part 1 bottlenecks, part 2 solutions
5 min Generating ideas The moderator poses the central question: “What are your experiences with PCC in the local situation? What bottlenecks do you perceive or experience?”
Participants get 3–4 min to write down their ideas in silence on post-its.
10 min Recording ideas The moderator invites the participants one-by-one to share their ideas. There is no room for discussion yet, first all ideas will be collected. The post-its are randomly put on the flipchart.
15 min Discussing ideas The moderator opens the discussion by asking the participants to respond and elaborate on the collected ideas. The moderator guides the discussion by asking questions. Participants are requested to write down new/additional ideas on post-its, which are added to the flipchart.
10 min Discussing ideas The moderator asks the participants to identify common themes among the ideas and write these down on the flipchart, together with some catchwords. The post-its are clustered accordingly.
5 min Voting on ideas The moderator requests the participants to individually prioritize the bottlenecks. The themes are listed by number on a separate flipchart. Each participant makes a ranking by allocating a relative score to each theme, in which 1 is the highest priority, 2 is the second highest priority, and so on.
5 min Voting on ideas The moderator collects the individual rankings and combines the scores on a sheet to establish a collective ranking. The result is shared with the participants.
10 min   Break
During the break the moderators meet and share which themes received most emphasis in their group during the first part. Accordingly, the six predefined themes are distributed among the groups for discussion during the second part.
Themes:
1. finances and time
2. providing and organizing PCC
3. collaboration between healthcare providers
4. logistics and tools
5. knowledge and education of healthcare providers
6. reaching the target population.
Part 2: Solutions
5 min Generating ideas The moderator explains that the second part of the discussion group will emphasize on 1–2 themes which are distributed among the groups to elaborate on specific solutions.
The moderator explains the theme (s) and poses the question: “What are your ideas to improve the delivery of PCC in the local situation?”.
Participants get 3–4 min to write down their ideas in silence on post-its.
10 min Recording ideas The moderator invites the participants one-by-one to share their ideas. There is no room for discussion yet, first all ideas will be collected. The post-its are randomly put on the flipchart.
15 min Discussing ideas The moderator opens the discussion by asking the participants to respond and elaborate on the collected ideas. The moderator guides the discussion by asking questions. Participants are requested to write down new/additional ideas on post-its, which are added to the flipchart.
10 min Discussing ideas The moderator asks the participants to identify common themes among the ideas and write these down on the flipchart, together with some catchwords. The post-its are clustered accordingly.
5 min Wrap-up The moderator wraps up the discussion by giving a short summary of the discussion and providing highlights.