Coding tree; a summary of the relationships between codes and themes for the positive and negative experiences of treatment; factors that influence long-term change and mediating factors
| Codes | Theme | |||
|---|---|---|---|---|
| Beliefs and attitudes | } | Pretreatment factors | } | |
| Previous experience of treatment | Mediating factors | |||
| Participant engagement | } | In treatment factors | ||
| Therapeutic relationship | ||||
| Change of perspective | (common to all arms) | } | ||
| Reduced medication | ||||
| Relaxation | (acupuncture) | |||
| Complaints and symptoms treated | ||||
| Self-understanding | (counselling) | Positive experiences | ||
| Acceptance of situation | ||||
| Empowerment | ||||
| Effective medication | (usual care) | |||
| Referral to National Health Service (NHS) mental health services | ||||
| Adverse events | (acupuncture) | } | ||
| Terminology | ||||
| Time consuming | ||||
| Fear of needles | ||||
| Difficulty opening up | (counselling) | |||
| Clichéd phrases | Negative experiences | |||
| Opened a can of worms | ||||
| Expense | ||||
| Side effects of medication | ||||
| Long wait after referral | (usual care) | |||
| Lack of general practitioner time and continuity | ||||
| Ageism | ||||
| Exercise advice | } | } | ||
| Dietary advice | ||||
| Reduce alcohol intake | Lifestyle strategies | |||
| Take time out | ||||
| Day-to-day structure | Long-term behavioural change | |||
| Distraction | } | |||
| Thinking strategies learned | ||||
| Self-talk and stoicism | Cognitive strategies | |||
| Social contact | ||||
| Seeking support |