Table 1 Semi-structured questionnaire for interviews

Introduction

• Introduce self

• Introduce the study

• Introduce the interview (audiotape, notes)

• Pause for questions

Open-ended

• Say: "Tell me about yourself"

beginning

(30-45 minutes)

• Use patient-centered method (patient-directed, empathic) to expand the patient's story of the physical, personal and emotional aspects of their illness

Directive Questioning (30-45 minutes) Ask these questions if the corresponding topics have not been discussed, continue to expand newly raised topics with clarifying questions and patient:

Explanatory

• "What do you believe is the root cause of your problems?"

models

• "What are your concerns about your problems?

• How have your health problems affected your life?"

Locus of control

• "Who do you feel has the most control over your health (life)?"

Health-seeking behaviour

• "Whom do you turn to for information about your health? Is there anyone else?"

Relationships

• "How is your relationship with your healthcare provider?"

• "What are your expectations when you go to the doctor?"

• "Do your issues get resolved to your satisfaction?"

• "How satisfied are you with the care you have received?"

• "How does gender affect your relationship with doctors?"

Expectations for the future

• "What are your expectations about your future?"

**Added after Interview 2** Ask this question if not already discussed

Describe your childhood

• "Have you ever been abused?"