Table 3 Prompts for focus groups according to Michie’s theoretical domains
Theoretical domains | Examples of interview prompts |
|---|---|
Knowledge | Do you know about the mandatory and non-mandatory components of HKCs? Do you know about the RACGP guidelines for child preventive health? |
Skills | How have you learned how to do a HKC? Have you had any training for HKCs? |
Which components of the HKC do you perform? Are there any specific areas of difficulty? | |
One of the non-mandatory components is questioning the social and emotional behaviour. Do you ask about that? | |
Can you assess the social and emotional well-being of a three-year-old? | |
What do you think about measuring children and calculating BMI? | |
Social/professional role | Who do you think should be doing HKCs? |
How do they fit with the checks done by MCHNs? | |
Do you think general practitioners have a role in preventive health in general? | |
Why did you set up HKCs in your practice? | |
Beliefs about capabilities | How good are we at picking up problems in young children? |
How easy or difficult is it to do a HKC? | |
Do you think that you’ve got the skills (to do a HKC)? | |
Do you fear that you might miss something? How confident are you that you can pick up a problem? | |
How confident are you with the assessment of social and emotional wellbeing | |
Beliefs about consequences | Do you think HKCs are worthwhile? Do you think they should be scrapped? |
In your experience of doing health checks with this age group, did you come across problems in your population? | |
What do you think about the evidence base behind the HKC? | |
How do you think parents view the HKC? Has anyone refused a check? | |
Motivation and goals | Why do you do HKCs? Why don’t you do HKCs? |
Memory, attention and decision processes | Is performing a HKC something you usually do? |
Do you use any prompts? | |
Has anyone decided NOT to do a HKC? | |
Environmental context and resources | Do you have any systems in place to run a HKC? |
Do you have the equipment? What do you use to help with a HKC? | |
Is anyone using any questionnaires or tools with a Healthy Kids Check? | |
Is there anything specific about WHERE you practice-your population group? | |
Social influences | Has anyone used any reminders or invitations for HKCs or do you just wait for people to ask? |
What do you think about the policy change that links the HKC with the Family Tax Benefits? | |
Emotion | How do you feel about health assessments with children? Does it give you any particular feelings or emotions? |
Behavioural regulation | Are there procedures or ways of working that encourage you to do HKCs? |
Nature of the behaviours | What do you currently do about HKCs |
What about weighing an overweight child? How do you approach an overweight child? |