A focus group interview was scheduled with healthcare professionals involved in the acute in-hospital care, as well as follow-up and rehabilitation treatment, of patients with an aSAH, which informed step 1 of the PROM-cycle (goal setting), step 2 of the PROM-cycle (selection of PROs), and an exploration of some aspects of step 4 of the PROM-cycle (development and testing of the PROM). Neurologists, neurosurgeons, rehabilitation physicians, and specialized nurses from different regions in the Netherlands were contacted to participate in a focus group interview. Five healthcare professionals (Table 1) participated in the focus group interview, led by an experienced moderator. As a second step, two individual interviews were conducted with a neurologist and with a rehabilitation specialist who could not attend the focus group interview. The following topics were discussed: the goal setting for the PROM, the relevant PROs for patients with an aSAH, the ideal timing for completion of the PROM, and the best strategy for the visual representation of the results of the PROM. Afterwards there were no unresolved issues, and a shared general view of healthcare professionals involved with the care for patients with aSAH in the hospital setting was achieved. The semi-structured interviews were recorded and transcribed verbatim. A thematic analysis was performed on the data using ATLAS.ti version 8.4.20. The interviews were coded based on a topic list, and new topics that emerged during the analysis were added to this list. Coding was performed independently by two researchers (EN and IA), and differences in the codes were discussed by these two researchers until a consensus was reached. A summary of the interviews was returned to the participants for comments or corrections.

The characteristics of the interviewees

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