Table 4

Ten lessons learnt for a future definitive randomised controlled trial

Sites1Consider staff availability and rurality when recruiting sites.
Therapy staff2Consider employing therapy staff directly or second from research delivery teams.
Participant recruitment3Recruitment flexibility, including after discharge home.
4Keep visiting potential participants.
5Delay recruitment until later after surgery.
Trial-specific training6Use the mnemonic GUIDE as a training aid.
7Stress the importance of the first home visit to reassure participants about safe activities.
8Value the emotional support provided by the technical instructors.
Usual care recording9Patient-held treatment log completed by visiting therapists.
Workbook10Further refine the workbook in the light of feedback.