132 Chapter 7 Table 1. Quantitative descriptive analysis of the percentage of patients at Amsterdam UMC who completed the OQUA pre- and postoperatively from December 2020 to December 2022 (retro-perspective patient cohort). * Required for obtaining access to the OQUA Patients (N) Percentage (%) Total 288 100 Active My Chart* 212 73.6 OQUA pre-operative 110 51.8 OQUA post-operative 33 15.5 Data collection Focus groups were organized for the ENT professionals and semi-structured interviews were conducted with patients of the Amsterdam UMC, NWZ and Deventer Hospital. The definitions and theoretical constructs used to generate open ended and correctly phrased questions are based on the existing literature.15-18 The interview and focus group schedule is provided as additional online file S4. The topics of the focus groups and interviews were divided into four categories and were related to own experiences with the OQUA (Q1), enablers of using the OQUA (Q2), barriers to using the OQUA (Q3) and motivation to complete or use the OQUA during the consultation (Q4). Each focus group consisted of 5 ENT professionals. The focus groups lasted one hour and were guided by an independent moderator. The moderator had no relationship with the ENT professionals and was unfamiliar with the use of the OQUA because of his non-medical background. One of the Authors [KV] was present as an observer and second interviewer to monitor and guide the process. Interviews with patients were conducted by the researcher [KV]. The interview duration was 15-35 minutes. Data saturation was achieved when the study sample included the most common patient groups within otology practice and the last interview provided no new answers. Data analysis The transcribed focus groups and interviews were imported to Atlas.ti19, which was used as a qualitative analysis software to efficiently edit and code the transcripts. The coding process was based on the content analysis technique of Atkins15 and proceeded in four steps. First, the transcripts were classified into meaning units,
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