Domains and their constructs | Interview prompts |
---|---|
Knowledge: - Knowledge about the guidelines - Knowledge about LMIs of the guidelines - Knowledge sources | • Are you aware of the guidelines on hypertension and diabetes? Can you please explain a little? • When and how did you receive the guidelines? • Where do you obtain information on the CVD and diabetes prevention? |
Skills: - Clinical skills - Counselling skills/the lifestyle modification component of the guidelines - Frequently recommended LMIs | • How did you learn how to advise the LMIs? • Did you have any training on the guideline recommendations? • Which LMIs are provided as part of daily routine practices? |
Beliefs about capabilities: - Technical capacity - Professional competence - Empowerment - Self-esteem - Belief in outcomes of the guidelines - Belief in clinical practice change | • What things help you to implement the lifestyle modification interventions effectively in your centre? • In what ways have the guidelines been useful in your FHC for the prevention of diabetes and CVD? • How did the guidelines change your practice? |
Beliefs about consequences: - Challenges in the guideline implementation - External evaluation and review - Internal evaluation and review | • What do you see are the difficulties in implementing the prevention recommendations in your practice? • Tell me about the specific examples of the challenges that you have faced? • What kind of monitoring tools or systems do you use to keep track of how the lifestyle interventions are being offered at your centre? |
Perceptions of roles and responsibilities: - Roles and responsibilities - Organisational support - Teamwork - Hierarchal pressure - Supervision - Feedback - Community support - Partnership | • What do you see as your role in the CVD and diabetes prevention? • What are the roles and responsibilities of the various staff in implementing the guidelines? • Do some staff have greater capability in this than others? • Can you describe any community linkages your FHC has been engaging with in order to effectively deliver the LMIs of the guidelines? |
Environmental context and resources: - Resources/material/technology - Environmental barriers | • What support have you been receiving to implement the prevention recommendations of the guidelines over time? • What support is available/ are you aware of any support? • What do you see are the difficulties in implementing the prevention recommendations in your practice? |
Leadership/optimism: - Organisational commitment - Individual commitment | • Emerged after participants had been interviewed |
Reinforcement: - Implementation procedure - Actual clinical change - Developing alternative strategies - Barriers and enablers - Field visits - Monitoring system | • What kind of monitoring tools or systems do you use to keep track of how the LMIs are being offered at your centre? |
Motivation/goals: - Goal setting - Target setting - Future priority | • What makes the lifestyle interventions like these successful in your practice? • What practical steps would be beneficial to enhance implementation of the lifestyle modification interventions? |
Memory, attention and decision processes: - Decision-making | • In what circumstances do you refer to these guidelines? |
Behavioural regulation | • Are there processes in your FHC that encourage the use of the guidelines? • What makes the lifestyle interventions like these successful in your practice? |
Nature of the behaviours | • Do you practise the lifestyle modification component/prevention of the guidelines? • What procedures do you practise to intervene the lifestyle modifications? • What do you advise your clients on CVD and diabetes? |