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Table 1 Inteview round 1

From: Development of an internet-delivered cognitive behavioral therapy program for use in combination with exercise therapy and education by patients at increased risk of chronic pain following total knee arthroplasty

Interview guide:

Results:

What are your immediate thoughts on this program now that you have seen an overview of all the modules?

“This seems exciting. I liked the video about Kathrine, recognized myself in her story.”

“I oppose this “dehumanization”. I am in favor of personal contact and that not everything should happen online. I think many, especially the elderly, will have trouble completing the course because lack of computer knowledge.”

“Exciting, I would have been keen on it!”

Is the content per module manageable to complete in 1 week?

… manageable …

“… too extensive, takes a lot of time”

“… .may seem overwhelming to some, important to only get one module a week”

Is the presentation understandable? Words, expressions etc.

“… change some expressions...”

“… very good information, some information becomes too philosophical … want more specific information related to osteoarthritis”

“..some of the terms are incomprehensible, some bad wording and bad language …”

Are the examples recognizable?

“the story about Kathrine is recognizable … some of the other examples should be changed to make them more recognizable to osteoarthritis patients”

“… some examples become incomprehensible for osteoarthritis patients”

“… some of the examples do not fit this patient group”

Will this cause the patients to get the spikes out thinking that we think “it is only in your head” or that we do not take their pain seriously?

“… important to emphasize that physiotherapy is the main element of this intervention”

“… clarify how thoughts, attitudes and stress affect pain”

“… I don’t think the module about values is relevant, and can be provocative, must either be removed or come later in the program …. I also perceive the module on Rest Networks more as psychotherapy … can be provocative for this patient group”

What do you think about the level / difficulty of the content - easy to follow or advanced?

“… easy to follow, manageable”

“The program is too comprehensive … too difficult for many due to lack of computer skills”

“I had trouble logging into the program the first time … it was easy to navigate in the program … intuitive and easy to know where to press to move forward … the layout and ease of use is good … the hand that drew the drawings was disturbing … still image would have been better.”

Would you be willing to do this if you were told that you were in the target group?

… would think this was exciting

… would not join … no need for “everything” to take place on the internet”

“… this seemed exciting, I would want to join”