ISBN: 10.3.3.4 Qualitative evidence summary Finding 1: Attitudes and understanding Study design and sample size Finding Quality assessment Number of studies contributing to the finding Design Criteria Rating Overall assessment of confidence Awareness focus groups USA, 2 Canada ICD recipients and family members were unaware that ICDs could be deactivated. Limitations Moderate concerns about methodological limitations LOW Coherence Minor concerns about coherence Relevance Moderate concerns about relevance Adequacy Minor concerns about adequacy Study design and sample size Finding Quality assessment Number of studies contributing to the finding Design Criteria Rating Overall assessment of confidence Advanced heart failure and palliative care Chronic Heart Failure NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: Study design and sample size Finding Quality assessment Number of studies contributing to the finding Design Criteria Rating Overall assessment of confidence Misconception USA, 1 Canada People perceived deactivation to be equivalent to euthanasia or suicide, resulting in immediate death Limitations Moderate concerns about methodological limitations VERY LOW Coherence Minor concerns about coherence Relevance Moderate concerns about relevance Adequacy Moderate concerns about adequacy Study design and sample size Finding Quality assessment Number of studies contributing to the finding Design Criteria Rating Overall assessment of confidence Not wanting to deactivate USA People did not want to deactivate regardless of the circumstances Limitations Moderate concerns about methodological limitations VERY LOW Coherence Moderate concerns about coherence Relevance Moderate concerns Advanced heart failure and palliative care Chronic Heart Failure NICE 2018. All rights reserved. Subject to Notice of rights. 