Development of an eHealth programme for self-management of persistent physical symptoms: a qualitative study on user needs in general practice

Abstract Background Persistent physical symptoms (PPS) are estimated to be present in 17% of patients general practice. Hence, practitioners (GPs) play a key role both the diagnostic assessment and management PPS. However, research indicates need improve their strategies support self-help patients, eHealth tools may serve as an opportunity. This study aimed explore patients’ GPs’ needs related self-management The was designed inform future development interventions this field. Methods qualitative based on 20 semi-structured interviews (6 GPs 14 with PPS). Interviews were audiotaped, transcribed verbatim analysed through five-step thematic analysis approach. First, we conducted inductive identify emerging subthemes. Second, using deductive mapping strategy, categorised derived subthemes according COM-B behaviour change model its three domains: capability, opportunity motivation. Results We identified eleven patient seven GP interviews. Several unmet emerged. consider PPS early illness trajectory by taking bio-psycho-social better skills manage uncertainty. Third, hope is important for patients. Fourth, guidance from how self-manage Conclusions provides insight into issues motivation that should addressed design targeting practice order care.