Fig. 2From: Patient and public involvement and engagement (PPIE): how valuable and how hard? An evaluation of ALL_EARS@UoS PPIE group, 18 months onPhase four and five of reflexive thematic analysis. Phases four and five include developing and reviewing themes (four) and then refining, defining, and naming themes (five). The initial codes from each open-text question was assigned to initial themes which are included in the grey box above. These were developed and reviewed during phase four and then refined and assigned into five refined themes (highlighted in the white boxes with bold text) during phase fiveBack to article page