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Table 3 Reference guide for mapping barriers with appropriate intervention activities

From: Mapping barriers and intervention activities to behaviour change theory for Mobilization of Vulnerable Elders in Ontario (MOVE ON), a multi-site implementation intervention in acute care hospitals

  Barriers Intervention activities
Capability • Attitudes and beliefs about mobilization • Classroom education
• Lack of knowledge about the importance of mobilization • Follow-up education (e.g. one-on-one coaching)
• Perceived lack of skills to implement intervention • Staff and patient posters
• Fear of injuring patient • Patient pamphlets/handouts
• Little to no knowledge of patient’s baseline or current mobility status • Display
• Patient/family beliefs about mobilization • Promotions
  • Seniors’ fair (contest)
• Volunteer activities
Opportunity • Time constraints and heavy workload • Leadership activities
• Lack of clarity regarding roles and responsibilities • Huddles
• Lack of standard mobility documentation processes • Staff meeting/rounds
• Presence of other priorities and initiatives on the unit • Promotions
• Existing climate/culture of unit • Reminders
• Lack of communication between health-care providers regarding patient’s care plan • Mobility champions
• Patient lack of personal mobility aids • Volunteer activities
• Lack of resources • Documentation
• Lack of accountability • Equipment
• Patient’s acuity  
Motivation • Attitudes and beliefs about mobilization • Reminders
• Resistance to implement intervention • Follow-up education (i.e. one-on-one coaching)
• Lack of clarity regarding roles and responsibilities • Mobility champions
• Existing climate/culture of unit • Audits
• Lack of accountability • Documentation
• Patient/family beliefs about mobilization • Leadership activities
• Patient lack of motivation • Patient social activities
  • Volunteer activities