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Table 2 Distribution of utterances perceived to influence x-ray–ordering practice comparing American and Canadian participants

From: Identifying factors likely to influence compliance with diagnostic imaging guideline recommendations for spine disorders among chiropractors in North America: a focus group study using the Theoretical Domains Framework

  USA Canada
TDF domains Reducea(%) Increaseb(%) Noinfluence (%) Utterances (N) Reducea(%) Increaseb(%) No influence (%) Utterances (N)
Nature of the behaviors 43 (61.4) 22 (31.4) 5 (7.1) 70 2 (11) 13 (72) 3 (17) 18
Skills 0 (0) 0 (0) 1 (100) 1 0 (0) 0 (0) 0 (0) 0
Beliefs about capabilities 62 (73.8) 21 (25) 1 (1.2) 84 8 (36) 10 (45) 4 (18) 22
Motivation & goals 25 (59.5) 12 (28.6) 5 (11.9) 42 3 (38) 5 (63) 0 (0) 8
Beliefs about consequences 73 (31.3) 136 (58.4) 24 (10.3) 233 75 (74) 20 (20) 6 (5.9) 101
Environmental context & resources 10 (40) 15 (60) 0 (0) 25 6 (38) 10 (63) 0 (0) 16
Social influences 29 (27.1) 60 (56.1) 18 (16.8) 107 18 (86) 2 (9.2) 1 (4.8) 28
Emotion 1 (25) 1 (25) 2 (50) 4 0 (0) 0 (0) 0 (0) 0
Knowledge 20 (40) 20 (40) 10 (20) 50 19 (53) 13 (36) 4 (11) 36
Memory, attention, & decision process 39 (92.9) 3 (7.1) 0 (0) 42 18 (72) 7 (28) 0 (0) 25
Social/professional role & identity 34 (33.3) 48 (47.1) 20 (19.6) 102 1 (3.2) 19 (61) 5 (16) 31
Behavioral regulation 61 (100) 0 (0) 0 (0) 61 30 (100) 0 (0) 0 (0) 30
Total 397 (48.4) 338 (41.2) 76 (9.3) 821 (72.1) 180 (58) 99 (33) 23 (7.5) 308 (27)
  1. aUtterances perceived to reduce x-ray utilization (facilitators). bUtterances perceived to increase x-ray utilization (barriers).