Table 2 Key TDF enablers and barriers domains to use PROMs among interdisciplinary healthcare team
TDF Domain | Close-ended Question | Enabler/Barrier |
|---|---|---|
Knowledge | Awareness of the objectives of using PROMs in clinic: 13 (72%) | Enabler |
Skills | Having the skills needed to interpret the results of PROMs: 11 (61%) | Enabler |
Skills | New skills are required to successfully use PROMS in the management of patients with LBP: 15 (83%) | Barrier |
Social/Professional Role and Identity | Believing that using PROMs is one of the HCPs’ role in clinic for individual patient management of LBP: 15 (83%) | Enabler |
Social/Professional Role and Identity | Professional role as HCPs in using PROMs in clinics was not clear: 15 (83%) | Barrier |
Optimism | Expecting improved patient outcomes as a result of using PROMs in the management of patients with LBP: 11 (61%) | Enabler |
Optimism | Optimism regarding the benefits of using PROMs in the management of patients with LBP: 13 (72%) | Enabler |
Beliefs about Consequences | Believes in the benefits of using PROMs in the management of patients with LBP: 13 (72%) | Enabler |
Beliefs about Consequences | Using PROMs in clinical practice is not necessary to improve patient outcomes: 12 (67%) | Barrier |
Reinforcement | Having better patient health outcomes makes HCPs continue using PROMs in the management of patients with LBP: 12 (67%) | Enabler |
Intentions | HCPs’ commitment to use PROMs in the treatment of patients with LBP in the next three months: 12 (67%) | Enabler |
Intentions | Having a strong intention to use PROMs in the treatment of patients with LBP in the next three months: 14 (78%) | Enabler |
Goals | The use of PROMs in the treatment of patients with LBP is not more important and prioritized compared to only using clinical outcomes: 15 (83%) | Barrier |
Goals | The plan of how to use PROMs in clinical practice is not clear: 10 (56%) | Barrier |
Decision Processes | The use PROMs is difficult in making treatment decisions: 11 (61%) | Barrier |
Environmental Context and Resources | Lack of time to use PROM scores in the clinical setting: 12 (67%) | Barrier |