Table 3 Determinants for implementing the enhanced OA consultation ordered by Theoretical Domains Framework (TDF) domain
From: Development of a behaviour change intervention: a case study on the practical application of theory
TDF domain | Aspects of domain identified in target group analysis |
|---|---|
Knowledge | The epidemiology and impact of OA, the recommendations of the NICE OA Guideline, the rationale for GPs providing support for the self-management of OA and that of making the diagnosis of OA clinically, details of the MOSAIC study procedures |
Skills | The skills needed to make the diagnosis of OA clinically, and those for delivering the model OA consultation |
Social/professional role and identity | The credibility of NICE guidance in general and specifically of NICE OA guidance, and the GP’s role in providing support for self-management |
Beliefs about capabilities | The time to deliver the model OA consultation in day-to-day practice, and any previous difficulties in managing OA |
Beliefs about consequences | The GPs’ doubts about the efficacy of OA interventions recommended by NICE OA guidance |
Motivation and goals | That OA and its management was not considered a high priority by the GPs, compared with other areas of general practice |
Memory, attention and decision processes | The GPs remembering to undertake the model OA consultation in day-to-day practice, when an older adult presents with peripheral joint pain |