Table 4 Final mapping of BCTs relevant to design a strategy for improving immunoglobulin test use in primary care

Feedback and monitoring

Feedback on behaviour

Education

GPs reported that they are not aware of how many tests they request, or if they request tests appropriately.

Shaping knowledge

Instructions on how to perform the behaviour

Education

GPs expressed lack of knowledge about when to do the test and asked for standardised guidance or resources.

Associations

Prompts and cues

Enablement

GPs highlighted that a once off education strategy is not desirable. Instead, they suggested a reminder on test results.

Comparison of outcome

Credible source

Persuasion

GPs mentioned the importance of input from specialists with regard to patient management following an abnormal test result.

Antecedents

Restructuring the physical environment

Environmental restructure

GPs discussed current requesting procedure as a potential target (requesting more detail on order forms.

Antecedents

Adding objects to the environment

Environmental restructure

GPs discussed lack of guidelines for interpreting test results and expressed interest interpretive comments on test results.

Natural consequences

Information about health consequences

Persuasion

GPs expressed concern over the consequences of not performing a test in terms of missing a myeloma diagnosis.