Table 5 Main and sub-themes of field testing of the developed HEI
Main Domain | Theme | Sub-theme | Example Quotation |
|---|---|---|---|
1) Comprehension and readability | 1.1) Intelligibility of the leaflet and video | Understanding of diabetes lead to blindness and eye check-up prevent sight loss | “Diabetes can cause a huge damage to the eyes. It can lead to blindness. We can spend little time and get our eyes checked and prevent this damage.” [HE_S22_64yrs_F] |
Difficulties in reading the leaflet by some PwDM | “I like the video because I can see it clearly. To read the leaflet I have to put some effort. It was bit of a hard work for me.” [HE_S03_65yrs_F] | ||
1.2) Difficulty in interpreting figures and medical images | Difficulty in understanding of the fundus images (in page number 03-leaflet). | “I could understand most of the things; However, I could not get the message from the pictures in the 2nd or the 3rd page. I cannot understand what is explained here.” [HE_M14_51yrs_M] | |
1.3) Level of simplicity and cultural appropriateness of the language style | Not preferring different colloquial languages in Tamil | “This is Jaffna Tamil. It is difficult to follow the video.” [HE_M17 _65yrs_F] | |
2)Actionability | 2.1) Ability to extract key messages of referral uptake | Understanding importance of follow-up as a key message | “I think the more serious message I captured from the video is that the ‘right follow up’ is very important to protect the sight’. Old lady’s story was interesting for me.” [HE_S21_58yrs_M] |
Understanding of Facilities are available at XX hospital. | “XX hospital is more capable of providing the latest treatments. We should get the maximum benefits out of it as diabetic patients.” [HE_S11_62yrs_M] | ||
3) Mode of Delivery | 3.1) Preference over delivery at the medical clinic | Preference of delivering and effective use of waiting time at the medical clinic. | “It is good to get the details like this at the Room 26 (medical clinic). After giving the leaflet I had enough time to read it, till I get my turn. I was sitting more than one hour.” [HE_T06_51yrs_M] |
3.2) Usability and willingness to share the HE material | Level of sharing resources | “My husband comes home late after work. He is tired after working and I am reluctant to discuss about my diseases when he is back home.” [HE_S27_50yrs_F] | |
3.3) Overall high social acceptability and attractiveness of the HEI | High acceptance of the delivered leaflet and video. | “I prefer both leaflet and video, but for more common use, leaflet would be better. It is easy to carry inside my bag.” [HE_S06_71yrs_F] |