Navigator interview guide
POSITIVE



 • What are some words that best describe your experiences of engagement? • Did you find that some families required more emotional support? • Any that avoided emotional support?  • Did some require more guidance than others? • Do you think there are trends (demographically or across diagnoses) among families that present these barriers? • Which barriers do you think are most challenging to address? What has your experience been with these types of barriers?
 • Was the training helpful? What components of training were the least/most helpful? • Positive? Negative? Overwhelmed? • Are there specific parts of your training that proved helpful in a particular type of scenario? • Were you confident in your ability to proceed as a Family Navigator after training? • What would you change? Would you add or remove components of training? • Is there something you know now that in hindsight, you think would have helped you when first starting off? • 
 • How often do you communicate with that person? • By phone, email, in person? What do you generally discuss? • How often, let’s say on a weekly basis, do you communicate and/or discuss your cases? • To what extent do you feel supported by your supervisor? How could supervision be improved? • Do you think it’s strong? How about consistent?  •   •  • How do you think communication with providers influences the effectiveness of your role as a Navigator?What, if any, are some of the challenges you’ve faced when communicating and trying to communicate with providers? • Which interaction do you find to be most valued in terms of assistance and/or guidance? • Is there someone who is challenging to get in touch with and/or simply challenging to communicate with in general? • What do you typically discuss? • Would you say you communicate frequently? Perhaps not enough? • How do you think frequent communication across site coordinators may influence the intervention?
 • Where do you feel navigation is based out of? • What part(s) or characteristic(s) of the inner setting do you think have a positive influence on day to day implementation? • What part(s) or characteristic(s) of the inner setting do you think have a negative influence on day to day implementation? • What parts of the inner setting help to support your role? • What parts of the inner setting make your role more challenging? • Was there anything in particular that helped you to better support the implementation of family navigation? • In what ways could your professional environment better support family navigation?
 • If so, what are they? • Do you think culture plays a role in a families’ willingness to interact or engage in navigation?  ◦ If yes, how, if at all, can family navigation better take culture into account? • How do you think they influence families’ engagement and/or involvement in Family Navigation? • Making or scheduling appointments • Transportation to and from appointments (or long travel distances) • Seeing a specialist • Unclear understanding of steps you needed to take • Lack of communication between provider or Family Navigator • Language barriers • Trusting the doctor’s diagnosis • Extended wait to obtain an appointment • Unclear understanding of where to go for services • Familial issues • Documentation challenges • Religious challenges  - How did you help to address those challenges?  - What guidance did you need to seek, if any, when faced with these challenges?


 • What type of families would need more help or support from a family navigator? What families might need less help? • How, if at all, should we tailor the design of family navigation to meet the needs of different types of families? • Do you think there might be any harms with working with a family navigator? • How can we best avoid harms?
 • What are some positive changes? • What are some negative changes? • What do these changes look like in the clinic? • Are these changes within the structure of the intervention? • Are there individuals, both outside of and within the clinic, that you feel have become more open to the intervention over time? • How have these changes influenced your role as a Coordinator?