Table 1

Qualitative interview topic guide

TopicQuestions
Opening question
Engagement with the intervention
First interview
Before you started, what were your expectations of the REACH-HF programme?
What did you want to know about?
Once the programme started, How did you use the manual?
Second interviewSince we last spoke how have you been getting on? (Reflect on a topic recalled in that interview if little discussion starts—or something observed)
Relationship with REACH-HF facilitator
First interview
Can you describe how the facilitator worked with you?
What did you like or dislike about how the facilitator worked with you?
What did you feel about your (husband, wife, son etc) being present?
Did the facilitator help you meet your needs?
Second interviewSince we last spoke have you had any further contact with the facilitator? (explore if yes)
Involvement of Family and Friends
Both interviews
Do you have any friends or family that help you manage your heart condition?
If so: In what way did your family or friends get involved?
How did you feel about it?
What if any discussions did you have with your family or friends about what support you needed from them in managing your heart failure?
Using the manual
First interview
As a result of using the manual and working with the facilitator what has changed about how you manage your heart failure?
What do you think about the medication section?
What do you think about the physical activity programme?
How do you plan to keep your fitness up in the future under your own steam? What other support might be useful?
What did you think about the progress tracker? How did you use it?
Second InterviewCan you tell me about what physical activity or exercise do you do now?
What are you doing to keep track of your progress?
Processes
Both interviews
Has taking part in the intervention affected your understanding of the condition/your situation? If so, probe further
Has it made you feel any more or less confident about how you manage your heart failure? If so, probe further
Psychological adjustment to living with heart failure
Both interviews
Has this programme changed the way you feel about having heart failure? If so, in what way?
Has this programme changed the way you manage these feelings? If so, in what way?
What do you think about the sections of the manual that are about managing stress? Were these helpful? If so how? How did you monitor your progress?
Moderators and Mediators
First interview
Is there anything else that affects how you look after your heart?
Second interviewWhat do you do now to look after your heart? Does this differ from the first interview
What other sources of information or support do you use? This is important if there are other heart failure management programmes being used