Suggested changes
While overall perceptions of the intervention and its utility were positive, a social worker at one study site as well as physicians at both sites made suggestions to improve feasibility. For example, intervention content was felt to be too broad with “a lot more material in it than would ever be able to be covered in the time period I was allotted to meet with patients (SWS1).” Notably, the social worker wished that “we could have had less of the education piece and more of the CB intervention piece. It’s just hard to do a twenty to thirty-minute session and do all this education and then sort of squeak in a little bit of therapy at the end. I just felt like it was lopsided in that way (SWS1).” Physicians acknowledged that they had very limited knowledge of intervention content but did have suggestions regarding alternatives to social workers for intervention delivery. In the words of one physician “… the biggest prerequisite for giving this therapy for the patient is you have to be a person who legitimately cares about the other person. I don’t think you need a degree (PS2).” Another physician reiterated this idea by saying “I think it would not have to include the teammates that are here already doing a different job, and that’s something that usually happens, so if we want it (the intervention) to be successful, it has to be driven by someone who is specifically doing this particular job (PS1).”