Subtheme | Implementation Outcomes | Suggested solutions |
---|---|---|
Accessibility of theory underpinning TDFI | Appropriateness | • Internal healthcare professional facilitators trained and supported by external TDFI experts |
Commitment to use of theory | Acceptability Appropriateness | • Addressing more focussed behaviours • Internal healthcare professional facilitators trained and supported by external TDFI experts • Flexibility around quantitative and qualitative assessment of barriers • Rigorous research designs and process evaluations to assess application of theory and intervention fidelity |
Problem complexity | Acceptability Appropriateness Cost | • Unpick complex processes to define behaviours specific to different roles |
Navigating the system and system changes | Appropriateness Feasibility | • Internal facilitators trained and supported by outside TDFI experts • Understanding of the health system as a complex adaptive system • Process evaluations to unpick context based factors influences on intervention effects |
Stakeholder management | Acceptability Appropriateness | • Internal facilitators trained and supported by outside TDFI experts |
Perceptions of the problem | Acceptability Appropriateness | • Addressing more focussed behaviours • Internal facilitators trained and supported by external TDFI experts |