Qualitative interview data were first analyzed inductively using reflexive thematic analysis [17] informed by a constructivist paradigm [18]. Once inductive codes were developed, they were deductively categorized according to NPT constructs, where applicable. Two coders (KD and LD) independently read and re-read the first three transcripts to achieve immersion and familiarization with the data. These transcripts were then coded independently, and codes and associated sections of the text were compared to reflexively evaluate interpretations and to mitigate the influence of individual bias. Qualitative data from the self-reflection guides were analyzed using a content analysis to categorize responses. These data were reported as counts as the format did not allow for deeper exploration or follow-up (as in the interviews) and are therefore more reflective of the primary concerns of participants at the time of completion. The research team then met to discuss the codes and explore potential themes. Once clarity was established, one team member (KD) coded the remaining transcripts and met with a second team member (LD) regularly to review and discuss the findings. Concurrent data collection and data analysis processes allowed for interview questions to be revised in order to further explore emerging insights [19]. Codes and associated narratives were organized in NVivo and were systematically synthesized to develop the central themes. A meeting was then held with members of the broader research team (TK and NI) inviting them to challenge the themes and pose alternative interpretations. Following this meeting, potential alternate interpretations were explored, qualitative data was reviewed to ensure accuracy of the codes, and themes were revised. The team then met again to review and further refine the themes collectively.

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