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Table 1 Multifaceted interventions used to overcome modifiable barriers

From: Implementation of a cystic fibrosis lung transplant referral patient decision aid in routine clinical practice: an observational study

Barriers Implementation interventions
Educational workshop (5 h) Online tutorial (1.5 h) Easy access to the patient decision aid Conference calls for ongoing support
Need knowledge about supporting patients in health decisions X X X X
Lack of confidence in ability to support patients X    X
Need for skills in helping patients clarify their values X   X  
Inadequate time in clinic to discuss decisions with patients X   X X
Need to enhance ability to support patients handling conflicting views X X   X
Perception that using the PtDA will require major changes in current practice X    X