7

Study design

Establishing a reference group of professionals

Research group

Oral and written information about the study was sent to clinical managers of rheumatological teams at two regional centres to recruit professionals.

Two reference groups of professionals (The advisory groups included the following professions: nurse, rheumatologist, physiotherapist, occupational therapist, counsellor) were formed through a convenience sample of professionals from two regional centres of rheumatological teams. The division into two groups based on working location was chosen to minimize time off work in accordance with requests from the professionals

8

Model development

Meeting with advisory group of professionals 1

Patient partner, researcher/clinician and professionals’ advisory group

A meeting including an introduction to the study, a brief introduction to the concept of sexual health, and discussion of the third version of the working model and how this model could be applicable in clinical practice from their professional view

Revision by the research group of the working model (fourth version)

9

Model development

Meeting with advisory group of professionals 2

Researcher/clinician and professionals’ advisory group

A meeting including an introduction to the study, a brief introduction to the concept of sexual health and discussion of the fourth version of the working model and how this model could be applicable in clinical practice from their professional view

The group suggested learning material as an addition to the working model to facilitate implementation of the working model in clinical practice

10

Model development

E-mail correspondence presenting the fourth version of the working model

Patient partner and volunteering patients

The fourth version of the working model was sent to the patients’ advisory group for responses and suggestions

No additional revisions suggested. The patient advisory group concluded that they preferred to contribute at the beginning of the project rather than on the more finalized product.

11

Finalizing model and developing learning material

Research group meeting

Research group

Creation of learning material based on the work process and the working model

Finalizing the working model (see Table 2)

12

Development of learning material

Workshop

Researcher and patient organization

Testing the learning material in a specific context

Need of adaption of learning material in accordance to context for various groups

13

Study outcome

Spreading the results of the study

Research group and users

Continuous development of learning material and testing of the working model