Acceptability, Appropriateness, and Adoption
SAID
In semistructured interviews, most participants (93% [26 of 28]) in the intervention group described the sessions as entertaining, providing a useful refresher of guidelines, distilling clear learning points, and modeling valuable communication scripts for emergency department physicians. Most participants responded that the length and number of sessions were appropriate (80% [16 of 20]) and would recommend the intervention (87% [20 of 23]). Of the 25 physicians who discussed adoption of the principles, 6 (24%) reported having used the material since completing the coaching sessions, while 16 (64%) said they would use the material in the future. Some participants (7 of 28 [25%]) had reservations about the program. For example, 1 participant noted a discordance between the intervention and the realities of clinical practice; another responded that the time commitment was excessive. We provide additional qualitative assessments of the intervention by participants in the 