Table 2

Touchpoints, themes and illustrative quotes

Getting started
Remote service safetyQ1‘I wouldn't feel unsafe about any of it. I feel sure that my wife is always there anyway, she would keep an eye on me as she does. And if she thinks that I'm overdoing it, or thinks I'm getting a bit too tired or exhausted, and she stops me doing whatever I'm doing.’ (SU09)
Q2‘You give them an alarm, you know, like the fall’s pendant, you give them that. And then if they are in distress, they can press that.’ (Healthcare professional (HCP) 05)
TrainingQ3‘But what we don't know is the best way to prescribe [exercise] and there’s no gold standard [way to do this for remote PR], as far as I know’ … ‘What we end up doing is’ … ‘a bit of trial and error, where we kind of give it to our patients and then say, how does this work for you?.’(HCP03)
Q4‘Creating a resource book for physios as well, so that they know how to troubleshoot issues which may come through during delivering a PR class. So, for example, how to set up meetings, how to re-invite somebody if they've lost the link‘ … ‘The second thing would be how to manage crisis situations’ … ‘if a patient collapsed on the screen, how would you manage that?’ (HCP05)
Precourse assessmentQ5‘And making sure we have that face-to-face interaction initially, where we can screen any risk factors like say a balance problem, or is there a cardiac issue?’ (HCP07)
Q6‘It’s important because you need the assessment to know your level of fitness before you start the programme.’(SU07)
Technology accessQ7‘An ideal rehab programme would be that a patient comes [in] for an assessment, we do a thorough assessment and then give out the equipment, whatever they need for the programme. If you think the patient is not tech savvy or the patient has more needs, then one of the team members can go out to the patient’s home, check the area, teach them how to use the computer, what buttons to use, how to use the sats [oxygen] probe et cetera.’ (HCP05)
Taking part
Delivery formatQ8‘But one thing that it would need would be a physiotherapist on the other end to motivate you. And to see you’re doing okay. So probably in Zoom with a group of people and one physio or two.’ (SU10)
Q9‘Videoconference is my preference because it’s the closest you can have in mimicking a face-to-face group.’ (HCP05)
SocialisationQ10‘I think as well as the exercise aspect of it, it would probably be good to have a social support type of group’ … ‘It’s nice to have someone to talk to and then you can just say, ohh well, I’m not having a very good week’ … ‘And sometimes, you know, you can help to motivate each other and also provide support.’ (SU02)
Exercise prescriptionsQ11‘So, if you have a class, which is pitched at the same level, they tend to perform better compared to a mixed class where there is always somebody lagging back, because they will feel frustrated that they're not able to keep up and the higher-level people will be frustrated, because it takes longer for the slower person to catch up.’ (HCP05)
Role of equipmentQ12‘I’d prefer for money to be spent on NHS staff advising us rather than buying equipment’ … ‘As people have mentioned, there are issues like whether people haven't got the space or whether after the equipment is withdrawn will they continue doing the exercise.’ (SU03)
Q13‘I feel that all you need are the bands [therabands] and the use of a chair, just an ordinary chair. That is quite sufficient.’ (SU13)
Q14‘I came across a conversion chart using pints of milk’ … ‘I think I think 6 pints is about 3.6 kilograms from memory’ … ‘so let’s not undervalue what we have already around the house.’ (HCP04)
Exercise safetyQ15‘I have a oxygen monitor’…. ‘my [oxygen] concentration levels go down very rapidly. Frighteningly low.’ (SU04)
Education deliveryQ16‘I think Zoom would be the best one, because with recorded videos, you can watch them. But if you have questions, you usually want to ask or get answer straight away.’ (SU02)
Q17‘I would like leaflets as well. Because when the physio taught me how to breathe, for my cough, you take it in at that time, but after a little while, you forget’. (SU10)
Palliative careQ18‘I think one of the big topics is end of life care, it’s a very sensitive topic. And, again, also needs to be delivered in a very sensitive way.’ (HCP04)
Beyond rehabilitation
Ongoing supportQ19‘I'd like them not to stop it’ … ‘I think you need the encouragement to carry on. I didn't hear from them [after the programme]. So, I felt a bit lost.’ (SU06)
Q20‘It would be great if we can carry on with the maintenance program and online at least once a week. And where, you know, people can meet not only for the exercise, but also the socialisation part’ … ‘you know, they have some level of support from a healthcare professional.’ (HCP06)