Short Semi-structured Interviews Research Articles

Challenges in Conducting Co-Creation Workshops to Study Net Zero Understandings, Initiatives and Sustainable Design Futures with Grassroots Communities - A Case Study

The Co-creation workshop is widely used as a qualitative design (research) approach in understandings of service provision, and is here applied to sustainable design, but there is no one-size-fits-all plan for co-creation. Therefore, our research questions are (1) how to apply co-creation workshop methods for grassroots communities on the unfamiliar ‘Net-Zero’ concept, and what are practical challenges to be mitigated and how? We researched this through a case study, and here present three key challenges we experienced when conducting a qualitative study on grassroots community opinions/attitudes towards the UK government’s ‘Net-Zero’ strategy. Firstly, recruiting and engaging with participants are challenging because (A) the ‘Net-Zero’ concept is unfamiliar, and (B) grassroots are in general less well organized and lack clear communication channels. Secondly, finding alternative ways to recruit participants in a short time is challenging, and thirdly, conducting research in the ‘wild’ way is difficult. From our co-creation experience, advisable solutions to the challenges (as our research contributions) include (1) quickly developing or having a well-prepared alternative plan to actively talk to and invite potential participants to the research location, (2) using alternative qualitative research methods such as short semi-structured surveys or interviews to do on-site ‘pop-up’ research in the wild, and (3) to locate a workshop where is easier to find participants in the ‘pop-up’ way and so gather data that can be clearly communicated to the stakeholders able to design and implement future sustainable development for the local community and the future sustainable design of the local environment and energy provision.

Participant Experience of a Modified Sports Program—A Curriculum Investigation in Gaelic Games

Modified sports programs aim to encourage children’s participation in sport and develop the skills required for future participation, with existing research supporting their positive influence on participants’ enjoyment, skill performance, and learning. However, limited research in this area and potential difficulties in contextual application underscore the need to understand stakeholders’ perceptions and the dilemmas of practice. Therefore, this study aimed to explore stakeholders’ perceptions of the Gaelic games modified sports program, Go Games, utilising the intended–enacted–experienced curriculum model as a framework. Short semi-structured interviews were conducted with 180 participants, including players (n = 92), parents (n = 62), and coaches (n = 26). Data were analysed using qualitative content analysis. The findings indicate a strong coherence between the experiences and perceptions of coaches and parents with the intended curriculum, but a disparity in understanding the purpose and objectives of modifications amongst parents. This study underscores the role of enjoyment for participants, but also highlights the high variability in the sources of this enjoyment. Prominently, coaches faced a range of dilemmas of practice based on the need to juggle often competing sources of motivation and enjoyment. This study suggests the need for greater parental understanding and significant support for coaches to manage these dilemmas of practice.

Experiencing Flow with Technology in Foreign Language Classrooms

Information and communication technologies (ICT) used in education, particularly Web 2.0
 tools, have become vital for today's language teaching environment. Learners and
 instructors employ these tools to enhance engagement and motivation in the classroom.
 Optimal experience and heightened focus associated with Web 2.0 tools align with the flow
 theory. This study explores the flow experience of English as a Foreign Language (EFL)
 learners and instructors while utilizing Web 2.0 tools and the factors influencing this
 experience. The Flow Short Scale and semi-structured interviews were employed for data
 collection. The findings indicate that EFL learners and instructors experienced flow while
 using Web 2.0 tools, and their perspectives on using these tools were revealed. Furthermore,
 the study emphasizes effectively integrating Web 2.0 tools into language lessons to enhance
 in-class flow experience and learning performance.

Instructed timing and body posture in guitar and bass playing in groove performance

Body movements play a crucial role in music performance and perception, and they do so well beyond those devoted to sound production itself. Various movements related to the performer’s emotional intentions or structural aspects of the music are also part of the performance and crucial to the listening experience. In the present study, we investigated the effect of instructed timing on such non-sound producing body movements, focusing on musicians’ body posture. We used an infrared motion-capture system to record the movements of skilled guitarists and bassists while they were playing electric guitar and electric bass, respectively. We instructed the musicians to perform under three different timing-style conditions: laid-back (behind), on-the-beat, and pushed (ahead). We also conducted short semistructured interviews to gain further insight into their movement strategies. The results show that performers generally leaned forward when instructed to play systematically slightly ahead of the pulse. We suggest that this change is related to an alteration in the performer’s experience of the feel of the music. The results support the view that musicians’ non-sound-producing body movements are not random, but integral to the performance, and that they are closely related to the music’s microrhythmic feel.

Assessing the sustainability and scalability of a diabetes eHealth innovation: a mixed-methods study

BackgroundTo date, little is known about the sustainability and scalability of MyDiabetesPlan, an eHealth innovation designed to facilitate shared decision-making within diabetes care. To avoid the possibility of its short-lived implementation and promote wider adoption so as to promote patient-centred diabetes care, it is critical to understand MyDiabetesPlan’s sustainability and scalability in order to ensure its long-term impact at a greater scale. We sought to identify the sustainability and scalability potential of MyDiabetesPlan and its limiting factors.MethodsUsing a concurrent triangulation mixed-methods approach, data were collected from 20 individuals involved in the development and implementation of MyDiabetesPlan. The National Health Services Sustainability Model (NHSSM) and the Innovation Scalability Self-administered Questionnaire (ISSaQ) were administered using a ‘think-aloud’ approach and subsequently, short semi-structured interviews were conducted. Mean aggregate scores and stakeholder-specific scores were generated for the NHSSM and ISSaQ, to quantitatively determine facilitating and limiting factors to sustainability and scalability. Content analysis occurred iteratively with qualitative data, to examine commonalities and differences with the quantitative findings.ResultsThe top facilitating factor to sustaining MyDiabetesPlan was “Staff involvement and training to sustain the process.”, whereas the top limiting factors were: “Adaptability of Improved Process”, “Senior Leadership Engagement” and “Infrastructure for Sustainability”. The top three facilitating factors for scale-up were “Acceptability”, “Development with Theory” and “Consistency with Policy Directives.” Conversely, the top three limiting factors were “Financial and Human Resources”, “Achievable Adoption” and “Broad Reach”. Qualitative findings corroborated the limiting/facilitating factors identified.ConclusionsAddressing staff involvement throughout the dynamic care contexts, and resource constraints impacting scale-up can enhance the sustainability and scalability of MyDiabetesPlan. As such, future plans will focus on garnering organizational leadership buy-in and support, which may address the resource constraints associated with sustainability and scalability and improve the capacity for adequate staff involvement. eHealth researchers will be able to prioritize these limiting factors from the outset of their tool development to purposefully optimize its sustainability and scalability performance.

Social representations of mask wearing in the general population during the COVID-19 pandemic.

Although one of the most prominent interventions against COVID-19, face masks seem poorly adopted by the general population. A growing body of literature has found that using face masks has social meaning. This qualitative study assessed the perceptions, representations and practices of mask wearing in the general population. A qualitative survey by short semi-structured walking interviews was carried out from April to December 2021 in 11 cities in France's Pays de la Loire region. Study locations were selected for their varied geographical, social, and economic characteristics, with urbanized and rural areas. Four domains linked to perceptions of masks and wearing them were explored: (i) evolution in mask wearing, (ii) decision-making methods for wearing and not wearing; (iii) incorporating the mask into way of life; (iv) projecting into the future. A total of 116 people were interviewed. Masks marked a shift from the ordinary world to the pandemic. Overall, interviewees considered masks an obstacle to breathing, communication, and social interactions, leading to establishing strategies circumventing the mask mandate. Poor attention was paid to their medical usefulness as an obligatory clothing accessory. Mask-wearing decisions were driven by social relations, common sense, and vulnerability. The greater the feeling of security (i.e., being with close relatives), the less it was worn or worn properly, with decreased attention to others and their health. Most participants did not remember learning to wear a mask. Some were convinced that mask-wearing could not be learned (experiential knowledge). Institutions (school and work) played a central role by facilitating incorporation of masks into daily life. This study emphasizes the need to reinforce the individual medical values of face masks to prevent COVID-19. Ambitious education and training programmes should be planned to learn how and when to wear masks. Institutions (work and school) may be critical for this purpose.

Teaching Critical Media Literacy to Fight Fake News in Moroccan Higher Education: Focus on Facebook and YouTube

Since the appearance of COVID-19, there has been a global concern over the unprecedented spread of fake news on social media. In Morocco, social networks have become principal tools for spreading a vast array of fake news on different events, namely those connected to COVID-19. The large spread of fake news also made teaching Critical Media Literacy a must today to fight its devastating effects in countries where it is still primarily ignored, namely at the university level. Therefore, the main aim of this study is to explore the types of fake news posts Moroccan university students are exposed to on Facebook and YouTube and to examine the pedagogies Moroccan teachers use to teach Critical Media Literacy in higher education to combat fake news. A short survey, semi-structured interviews, and teaching materials were used to collect data on Moroccan university students’ exposition o fake news and the strategies Moroccan teachers use to effectively teach Critical Media Literacy. The findings showed that Moroccan students were frequently exposed to various fake news posts on different issues and were not equipped with enough tools to spot fake news on social networks. Moroccan university teachers also faced adverse challenges in implementing adequate pedagogies to enhance Critical Media Literacy.

'Sheds for Life': delivering a gender-transformative approach to health promotion in Men's Sheds.

Research has highlighted the importance of gendered approaches to engage men with health. Sheds for Life (SFL) is a health and wellbeing initiative that utilizes evidence-based and gender-specific approaches to engage hard to reach men with health promotion directly in the Men's Sheds (Sheds) setting. To understand the impact of SFL and how participants (Shedders) experienced SFL in practice, this qualitative study applied a framework of constructivism and aimed to explore how gendered approaches impacted engagement with SFL through Shedder's own accounts of their attitudes, opinions and experiences. Qualitative methods incorporating ethnographical observations, focus groups (n = 8) and short semi-structured interviews (n = 19) were conducted with SFL participants in the Shed setting. Reflexive thematic analysis was used to analyse the data to faithfully capture Shedders' experiences while acknowledging the reflexive influence of the researcher. Findings led to three key themes: Creating the 'right environment'; Normalizing meaningful conversations; a legacy for 'talking health' with subthemes of creating safety and trust and strengthening of bonds; and transforming perceptions of how men 'do health' with subthemes of reaping the benefits of engaging with health and reframing attitudes towards health. This is first study to capture Shedders' experiences of a structured health promotion initiative in the Shed setting. Findings highlight the value in utilizing the Shed setting to engage men with health and the importance of gender-specific strategies which encourage a gender-transformative approach to men's health promotion.

Preliminary Findings of Caregivers’ Burden among Parents of Adolescents with Anorexia Nervosa: An Exploratory Study

Background: The multifactoriality of Anorexia Nervosa (AN) and the specificity of the treatment that provides for the compliance of parents (caregivers) is consolidated in the scientific literature. Caregivers’ burden, in addition to negatively affecting parents’ Quality of Life (QoL), can act as a maintenance factor for the disorder itself. Aim: Within a much broader research project, this work focuses on a preliminary analysis of the presence and level of burden in couples of parents of adolescents with Eating Disorders (EDs) and related variables. Methods: At a clinic dedicated to EDs, three couples of parents (mean age = 47.50; SD = 2.73) of three female patients with AN (mean age = 16; SD = 1.78), prior to taking charge, which includes protocol, psychoeducation, and family psychotherapy meetings. Caregivers completed a questionnaire consisting of standardized screening tests for assessing psychological assets: (a) Depression Anxiety Stress Scale-21 (DASS-21), (b) Family Strain Questionnaire—Short Form (FSQ-SF), (c) Resilience Scale (RS), and (d) semi-structured interview. Results: High levels of anxiety (18 ± 6.9), stress (13.33 ± 10.26), and depression (12 ± 6.9) are found in mother caregivers, while father caregivers are more resilient (57.33 ± 8.5). A high level of caregivers’ burden was associated with being unemployed (3.33 ± 2.51), being a mother (4.33 ± 1.52), and with a highly pathological patient to care for (3 ± 4.24). Conclusions: Evaluating family caregivers of ED patients for risk factors of burden allows them to offer care and reduce the perceived stress of care.

Process and Information Needs When Searching for and Selecting Apps for Smoking Cessation: Qualitative Study Using Contextual Inquiry.

BackgroundHundreds of apps are available to support people in their quest to quit smoking. It has been hypothesized that selecting an app from a sizable volume without any aid can be overwhelming and difficult. However, little is known about how people choose apps for smoking cessation and what exactly people want to know about an app before choosing to install it. Understanding the decision-making process may ultimately be helpful in creating tools to help people meaningfully select apps.ObjectiveThe aim of this study is to obtain insights into the process of searching and selecting mobile apps for smoking cessation and map the range of actions and the accompanying reasons during the search, focusing on the information needs and experiences of those who aim to find an app.MethodsContextual inquiries were conducted with 10 Dutch adults wanting to quit smoking by using an app. During the inquiries, we observed people as they chose an app. In addition, 2 weeks later, there was a short semistructured follow-up interview over the phone. Through convenience and purposive sampling, we included participants differing in gender, age, and educational level. We used thematic analysis to analyze the transcribed interviews and leveraged a combination of video and audio recordings to understand what is involved in searching and selecting apps for smoking cessation.ResultsThe process of finding smoking cessation apps is comprehensive: participants explored, evaluated, and searched for information; imagined using functions; compared apps; assessed the trustworthiness of apps and information; and made several decisions while navigating the internet and app stores. During the search, the participants gained knowledge of apps and developed clearer ideas about their wishes and requirements. Confidence and trust in these apps to help quitting remained quite low or even decreased. Although the process was predominantly a positive experience, the whole process took time and energy and caused negative emotions such as frustration and disappointment for some participants. In addition, without the participants realizing it, errors in information processing occurred, which affected the choices they made. All participants chose an app with the explicit intention of using it. After 2 weeks, of the 10 participants, 6 had used the app, of whom only 1 extensively.ConclusionsFinding an app in the current app stores that contains functions and features expected to help in quitting smoking takes considerable time and energy, can be a negative experience, and is prone to errors in information processing that affect decision-making. Therefore, we advise the further development of decision aids, such as advanced filters, recommender systems and curated health app portals, and make a number of concrete recommendations for the design of such systems.

How to make a mineral wine? Relationship between production type in the Chablis vineyard and the search for a mineral wine style

Minerality in wine has consistently gained attention from the wine industry in the last three decades. It has been considered for a long time as an ill-defined and controversial sensory attribute. In the last decade, several academic articles have addressed the conceptual, sensory and chemical delimitation of this fuzzy concept. However, the link to viticulture and winemaking processes has not been studied yet. The goal of this work was twofold: first to produce a typology of practices in Chablis Premier Cru, a PDO (known for its mineral wines) and, second, to explore how Chablis producers conceptualise wine minerality and its link to production practices. We hypothesized that Chablis producers aim to maximise the minerality of their wines and adapt their production strategy accordingly. Two interviews were carried out. Thirty-four wine producers from Chablis participated in the typology interview, of which twenty-seven also participated in the minerality interview. A typology analysis of the producers’ viticultural and winemaking practices revealed four types of production strategies (Conventional, Natural, Agroecology and Low Input Winemaking). A short semi-structured interview of the producers’ opinions of and attitudes towards minerality and practices leading to wine minerality highlighted the key aspects of the production of mineral wines, namely soil characteristics, harvest date, type of yeasts, fermentation temperature, type of ageing containers and intensity of lees contact, among others. A link between the respondents’ production practices and their minerality conceptualisation was found: in some cases, the representation of minerality seemed to be a result of the applied production strategy and not only the other way around; i.e., these winemakers conclude that because their wines are mineral their respective production practice is the best one for making mineral wines, without having deliberately chosen it to make mineral wines.

Exploring Greater Rates of Breastfeeding Among Civilian Military Wives

ObjectiveTo explore factors contributing to the greater rates of breastfeeding initiation and duration among civilian military wives (e.g., legally married to an active-duty spouse) and to determine what might be learned from these factors for intervention design for the broader population of women in the postpartum period. DesignThe study was conducted online using a concurrent mixed-methods design. SettingNational and International U.S. military bases. ParticipantsThe sample consisted of 28 civilian military wives whose ages ranged from 18 to 45 years. Interventions/MeasurementsThe Breastfeeding Self-Efficacy Scale–Short Form and semistructured interviews. ResultsBreastfeeding self-efficacy was high among civilian military wives. Seven main themes with 16 subthemes emerged from the descriptions of the semistructured interviews. The results of the integrative analysis showed that factors within the military environment influence a sense of community and that there were supportive and pro-breastfeeding health care facilitators (especially lactation consultants). ConclusionCivilian military wives described breastfeeding facilitators who they believed promote their greater rates of breastfeeding initiation and continuation, quantified their high level of breastfeeding self-efficacy, and identified descriptive factors that contributed to both areas, topics that are lacking in the literature among this population.

Investigating cognitive processes in different item formats in reading tests through eye-tracking and verbal protocols

This study has investigated the differences in cognitive processes that test-takers undergo while answering reading comprehension questions in multiple-choice and open-ended short answer formats. For this purpose, data were collected from a group of undergraduate students in an English medium university through eye-tracking technology, immediate retrospective verbal protocols, and short semi-structured interviews. The results showed that the participants used careful reading skills more and comprehended the text more thoroughly in the open-ended format. However, in the MC format, they read less carefully and used more test-taking strategies. These findings contribute to the ongoing discussion on how item format can alter the cognitive processes in a reading comprehension test and confirm the effectiveness of eye-tracking in unveiling cognitive processes in combination with qualitative methods. This study has implications for reading test development.

'We Ought to Be Professionals': Strategies of Intrapersonal and Interpersonal Emotion Regulation of Emergency Medical Services Professionals in Confrontation With the Death of a Newborn in Simulated Task.

Managing one's own and others' emotions is a necessary part of emergency medical services (EMS) professionals' work. For that reason, we explored their emotion regulation strategies in a simulated task which focused these skills. Short semistructured interviews were conducted with 48 EMS professionals immediately after completing the task. They described their experience during this task as distressing on a manageable level. Emergent emotion regulation strategies are largely in line with established theoretical frameworks, but their specification is unique and offers new insights. Focusing on the task along with emotional distancing is a crucial combination employed by many EMS professionals. Pre-existing cognitive frames also help with processing of emotional stimuli. Among interpersonal strategies, allowing the relatives of a deceased child to cope with their grief was the most typical reaction. However, attempts to distract them or positively reframe their situation were also present, along with few other strategies.

Contemplative Training and Psychological Stress: an Analysis of First-person Accounts

ObjectivesSeveral studies have investigated the relationship between contemplative approaches and psychobiological stress response; however, this area of research is still new, the mechanisms of the relationship between the stress response attenuation and contemplative training have not been fully delineated, and little is known about the effects of contemplative practice on the ways psychological stress is experienced. This study aimed to explore the first-person experience of psychological stress in meditation practitioners.MethodsWe conducted short semi-structured interviews with twenty-five meditation practitioners and twenty meditation-naïve controls immediately after they had undergone a laboratory task (the Trier Social Stress Test). A mixed-method approach was used to analyze the interviews. Thematic analysis was combined with descriptive statistics of the qualitative information that had been converted to quantitative data.ResultsExperiences instantiating main themes were identified as follows: (1) primary experiences encountered, describing the most salient experiences associated with the task; (2) reasons for stress, delineating the analyses of why the task was stressful; (3) affect, dealing with emotional experiences during the task; (4) emotion regulation; and (5) attention allocation describing regulatory strategies employed by the participants. Responses to subjective stress experience in meditation practitioners included use of humor, presence of positive affect, combinations of different types of emotion regulation strategies, and adaptive attention allocation.ConclusionsThis study elucidates particularities of meditators’ subjective experience of psychological stress, provides new insights on the mechanisms of meditation effect on the stress response, and proposes new directions for research.

Family perspectives on the acceptability and usefulness of the FAB Positive Behaviour Support program: A pilot study

ABSTRACT Purpose: This pilot feasibility study aimed to gain preliminary insight into the acceptability and usefulness of the FAB-PBS program for providing behavior support to families following acquired brain injury (ABI) in community settings. The FAB-PBS program is based on a Positive Behavior Support (PBS) framework and principles of Family-Centered Care and Family-Directed Intervention. It consists of an education phase followed by individualized sessions during which the family is supported to develop and implement a PBS plan. Methods: A mixed-methods design was utilized, with feedback obtained from family members via short questionnaires and semi-structured interviews post education phase and individualized sessions, and at three-month follow up. Results: Two family members completed the full FAB-PBS program and reported high satisfaction with the program and increased confidence in providing behavior support. Findings also suggested an increase in desired behaviors and a decrease in challenging behaviors presented by family members with ABI. Conclusions: The FAB-PBS program may be an acceptable and feasible approach to increasing the capability of family caregivers in providing behavior support following ABI. Further pilot testing is required to inform the development of a larger feasibility study.

Evaluating ELT Textbook in Bangladesh: The Case of English for Today (Classes Nine-Ten)

The paper evaluates the ELT textbook English for Today (Classes Nine–Ten) which is used as a dominant instructional material in secondary level schools and madrasahs in Bangladesh. The National Curriculum and Textbook Board (NCTB) of Bangladesh published the revised edition of the textbook series English for Today in the academic year 2013 incorporating the guidelines proposed in National Education Policy (NEP, 2010) and National Curriculum (NC, 2012). Ever since the introduction of the ELT textbook series, systematic evaluations to examine their pedagogical usefulness and constraints have been found inadequate. The purpose of the study is, therefore, to identify the strengths and weaknesses of the textbook which will help the teachers do maximum application of its strengths in the classroom, and make sensible decisions about the weaknesses. This study followed the ‘whilst-use’ evaluation type, and adopted mainly the checklist method. The checklist was designed drawing on suitable criteria from the popular checklist developed by McDonough, Shaw and Masuhara (2013). In addition, a short semi-structured interview was conducted with 10 secondary English teachers in order to explore how the teachers would perceive and evaluate the textbook. Though the evaluation identified the textbook’s rewarding features, it also revealed a number of limitations which require sincere attention of the curriculum and materials developers. The study implies that the textbook requires both internal and external improvements in order to maximize the learning outcomes and meet the curriculum objectives. The paper also makes recommendations for the curriculum experts and textbook writers for consideration during future editions of the textbook.

“Say Ahhh”: Experience and Views on Halitosis Management in the General Public in Victoria, Australia

IntroductionHalitosis is common and can have a significant impact on quality of life. It is attributed to both intraoral and extraoral causes. Although halitosis treatment depends on the aetiology, little is known about consumers’ perception of halitosis causes and the types of assistance sought. The Say Ahhh Study aimed to explore the interprofessional care for halitosis and improve understanding by the general public. Phase 1 explored the perceptions of health care providers. This article reports the findings of Phase 2, which explored the general public's knowledge of halitosis, its management, and help-seeking behaviour. MethodsPatients and clients at 2 medical clinics, 3 dental clinics, and 2 pharmacies in Melbourne and rural Victoria were approached and invited to participate in a short semistructured interview. Qualitative data was thematically analysed. ResultsA total of 122 participants (54 males, 66 females, 2 missing) were interviewed. Participants’ past experience with halitosis influences their understanding of the cause. Halitosis was attributed mostly to poor oral hygiene and diet and less commonly to systemic disease. Their perception of the condition's severity influenced whether they seek professional help. Their perceived roles of health professionals and ease of access influenced their choice of health professionals to seek help from. ConclusionThe Victorian general public is aware of the causes of halitosis and the available treatment options. Choice of treatment and help-seeking behaviour are influenced by experience, perceived severity of the condition, and perceived role of health professionals and their accessibility.

Human Rights and Minority Languages: Immigrants’ Perspectives in Greece

Human rights and their fortification through conventions and treaties are thought to be one of the greatest achievements of the previous century. A very important category of human rights is the Linguistic Human Rights (LHR). Linguistic Human Rights are connected to basic human rights and are of great importance in policy and planning. There have been numerous researches on language policies and in educational systems around the world. However, minority populations’ opinion, for example refugees’ opinion, is rarely represented in these researches. The present research aims at exploring the existing language policies in Greece in reference to minority languages. For the needs of this research six adult refugees participated in short semi-structured interviews. Even though participants seemed to be unaware of the term “Linguistic Human Rights”, most of them referred to the difficulty they have in exercising major human rights due to the monolingual policies that are followed in Greece. Taking into consideration the importance of Linguistic Human Rights and people’s need to use their mother language(s) in Greece, the last part of this research includes suggestions and ideas towards multilingual practices that come from different countries around the world.

Does prospective acceptability of an intervention influence refusal to participate in a randomised controlled trial? An interview study

BackgroundThe generalizability of findings of Randomised Controlled Trials (RCTs) is undermined by low or biased recruitment. Reasons for participant refusal are infrequently reported in published literature. AimsTo apply the Theoretical Framework of Acceptability (TFA) to: (1) explore patient-reported reasons for declining to participate in a RCT comparing a new service model (patient-initiated appointments) with standard care (appointments scheduled by clinician) for managing blepharospasm and hemifacial spasm; (2) to explore associations between decliners’ perceptions of acceptability and non-participation. MethodEligible patients (n = 242) were approached to participate in the trial. Phase 1: decliners provided a brief reason for refusal. Reasons were analysed descriptively and reviewed against TFA constructs. Phase 2Consecutive decliners participated in short semi-structured interviews, to explore their reasons for refusal in more depth. Interviews were transcribed and analysed, with the TFA as a coding framework. ResultsEighty-seven (36%) eligible patients refused trial participation; all provided a reason. From interviews with 15 decliners (17%), four key beliefs about acceptability were identified: happy with standard care (n = 41) (49%), anticipated burden of patient-initiated service, lack of confidence in ability to engage with new service and uncertainties about effectiveness of new service. Two themes reflected non-TFA factors: trial participation a low priority and burden of completing trial documentation. ConclusionReasons for refusal trial participation included: (a) reasons directly associated with intervention acceptability, and (b) reasons associated with trial participation more broadly. The TFA facilitated identification of problematic aspects of the new appointment booking system which could be addressed to enhance acceptability.