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Table 3 Subthemes and associated implementation outcomes and their suggested solutions

From: Process evaluation of a behaviour change approach to improving clinical practice for detecting hereditary cancer

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

  1. TDFI theoretical domains framework implementation