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Table 1 Internal consistency of domains (α) and the distribution of responses (1 = strongly disagree, 5 = strongly agree) among participants (n = 73)

From: Assessing implementation difficulties in tobacco use prevention and cessation counselling among dental providers

KNOWLEDGE (α = 0.54) 1 2 3 4 5
I'm unaware of the meanings and objectives of the six A s in the Current Care guidelines on tobacco dependence treatment (Ask, Assess, Account, Advise, Assist, Arrange)* 7 (9.6) 12 (16.4) 25 (34.2) 15 (20.5) 14 (19.2)
I have sufficient therapeutic knowledge of the pharmaceutical products for tobacco cessation 26 (35.6) 27 (37.0) 12 (16.4) 7 (9.6) 1 (1.4)
I don't know how to promote a tobacco-free lifestyle among youth* 13 (17.8) 16 (21.9) 28 (38.4) 12 (16.4) 4 (5.5)
SKILLS (α = 0.55) 1 2 3 4 5
I know the appropriate questions to ask patients when providing tobacco use cessation counselling 28 (38.4) 23 (31.5) 17 (23.3) 3 (4.1) 2 (2.7)
I know how to prescribe pharmaceutical products for those ready to quit 34 (46.6) 20 (27.4) 9 (12.3) 8 (11.0) 2 (2.7)
I am unsure how to assess patients in their efforts to stop tobacco use* 2 (2.7) 8 (11.0) 23 (31.5) 18 (24.7) 22 (30.1)
Sufficient opportunities are available to learn about promoting a tobacco-free lifestyle 11 (15.1) 10 (13.7) 25 (34.2) 17 (23.3) 10 (13.7)
PROFESSIONAL ROLE AND IDENTITY (α = 0.57) 1 2 3 4 5
Most of my colleagues in this clinic believe that promoting tobacco abstinence is an important part of their professional identity 7 (9.6) 22 (30.1) 27 (37.0) 9 (12.3) 8 (11.0)
Counselling for cessation is not an efficient use of my time* 15 (20.5) 9 (12.3) 26 (35.6) 15 (20.5) 8 (11.0)
BELIEFS ABOUT CAPABILITIES (α = 0.64) 1 2 3 4 5
I am confident in my abilities to prevent patients from using tobacco products 17 (23.3) 25 (34.2) 26 (35.6) 2 (2.7) 3 (4.1)
I am able to make decisions about the risks/benefits of the appropriate use of nicotine replacement therapy 34 (46.6) 17 (23.3) 16 (21.9) 3 (4.1) 3 (4.1)
I have the skills to monitor and assist patients throughout their quit attempt 35 (47.9) 21 (28.8) 11 (15.1) 4 (5.5) 2 (2.7)
BELIEFS ABOUT CONSEQUENCES (α = 0.60) 1 2 3 4 5
My counselling will increase a patient's likelihood of quitting 7 (9.6) 18 (24.7) 24 (32.9) 21 (28.8) 3 (4.1)
Patients appreciate it when I promote tobacco abstinence 5 (6.8) 14 (19.2) 28 (38.4) 16 (21.9) 10 (13.7)
The patients we see in our clinic/department have so many other problems in their lives that stopping tobacco use is a very low priority for them* 3 (4.1) 14 (19.2) 27 (37.0) 20 (27.4) 9 (12.3)
MOTIVATION AND GOALS (α = 0.60) 1 2 3 4 5
I am unwilling to work on improving my provision of tobacco cessation services* 21 (28.8) 17 (23.3) 29 (39.7) 4 (5.5) 2 (2.7)
The importance of patient health helps me to overcome barriers such as lack of time and reimbursement in promoting a tobacco-free lifestyle 4 (5.5) 12 (16.4) 26 (35.6) 17 (23.3) 14 (19.2)
I receive insufficient reimbursement for promoting tobacco abstinence* 9 (12.3) 10 (13.7) 22 (30.1) 15 (20.5) 17 (23.3)
I have insufficient time to promote tobacco abstinence* 8 (11.0) 5 (6.8) 20 (27.4) 23 (31.5) 17 (23.3)
MEMORY, ATTENTION, AND DECISION PROCESS (α = 0.52) 1 2 3 4 5
Deciding whether to promote tobacco abstinence is sometimes difficult* 20 (27.4) 13 (17.8) 17 (23.3) 15 (20.5) 8 (11.0)
Reinforcing tobacco abstinence is easy for me to remember 8 (11.0) 14 (19.2) 23 (31.5) 19 (26.0) 9 (12.3)
ENVIRONMENTAL CONTEXT AND RESOURCES (α = 0.71) 1 2 3 4 5
My dental clinic has no tobacco-related self-help materials/pamphlets to distribute to patients* 5 (6.8) 8 (11.0) 9 (12.3) 10 (13.7) 41 (56.2)
Our dental clinic has a system to provide follow-up support between clinic visits 60 (82.2) 4 (5.5) 0 8 (11.0) 1 (1.4)
Our dental clinic has a system to cue/prompt providers to counsel against tobacco use 60 (82.2) 4 (5.5) 5 (6.8) 2 (2.7) 2 (2.7)
Our clinic management has taken actions to remove barriers to the provision of tobacco use counselling 27 (37.0) 8 (11.0) 23 (31.5) 12 (16.4) 3 (4.1)
In the dental clinic where I work, I receive no feedback from promoting tobacco abstinence* 1 (1.4) 7 (9.6) 16 (21.9) 11 (15.1) 38 (52.1)
My dental clinic provides insufficient reimbursement for promoting tobacco abstinence* 1 (1.4) 7 (9.6) 20 (27.4) 14 (19.2) 31 (42.5)
SOCIAL INFLUENCES (α = 0.52) 1 2 3 4 5
Our clinic/department generally supports improving the way in which we promote a tobacco-free lifestyle 16 (21.9) 10 (13.7) 28 (38.4) 13 (17.8) 6 (8.2)
Most patients do not want to receive tobacco counselling* 4 (5.5) 7 (9.6) 31 (42.5) 22 (30.1) 9 (12.3)
There is at least one respected individual in our dental clinic who is personally committed to leading our efforts to improve our provision of tobacco cessation services 44 (60.3) 10 (13.7) 11 (15.1) 4 (5.5) 4 (5.5)
My role does not involve assisting patients to stop tobacco use* 27 (37.0) 20 (27.4) 15 (20.5) 8 (11.0) 3 (4.1)
Most patients want to receive tobacco use cessation counselling 20 (27.4) 23 (31.5) 27 (37.0) 3 (4.1) 0
EMOTION (α = 0.50) 1 2 3 4 5
Helping with tobacco cessation makes me feel useful to patients 7 (9.6) 3 (4.1) 31 (42.5) 23 (31.5) 9 (12.3)
I find counselling patients about tobacco to be frustrating* 13 (17.8) 14 (19.2) 28 (38.4) 9 (12.3) 9 (12.3)
Burn-out prevents me from providing more tobacco use cessation counselling* 28 (38.4) 16 (21.9) 15 (20.5) 6 (8.2) 8 (11.0)
  1. *Indicates negatively worded item, in which scales are reversed in further analysis.