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Chapter 5112follow-up. A co-researcher (AC) with MID was involved in drafting the interview guide to ensure the clarity of the questions and the adequacy of the sequence of topics for the participants. In order to tailor the interview to each specific participant, prior to the interview, basic information on the MH care provided was retrieved through the patients and, when there was patient consent, their GP. This information consisted of type of MH problem and whether or not the MHNP was involved, the patient was referred, and medication was prescribed. All interviews were conducted by the same female researcher (KP) who is an ID physician with broad experience in communicating with people with MID.AnalysisThe interviews were audio-recorded and transcribed verbatim. The transcripts were analysed following the principles of thematic analysis, 24supported by ATLAS.ti software (version 22.0.11). Coding was conducted by two researchers independently (KP and MK or MM). Codes were then collated in preliminary themes and repeatedly discussed in the research team (KP, MK, MM, SL, WA, GL) to refine and define the themes. Before the final themes were established, they were discussed and deliberated with the study’s advisory board. The COREQ criteria list for qualitative research was used to guide the analysis and report. 25ResultsIn total, 11 persons with MID, of whom ten females, were interviewed between June 2022 and October 2022, age range 23–63 years. The duration of the interviews was 40 to 70 minutes, one interview took place online, and in three interviews there was a trusted person present. Eight participants received care from an MHNP in the primary care setting (Table 5.1). The analysis resulted in four not-mutually exclusive themes. The first, overarching, theme is cumulative vulnerability, relating to the vulnerability – instigated by their MID and reinforced by MH problems – experienced by the participants visiting their GP. Three themes further describe the needs that arise from this vulnerability: patient needs regarding the GP, Katrien Pouls sHL.indd 112 24-06-2024 16:26