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Table 4 Interview participants’ perception of implementation tools

From: How do clinicians use implementation tools to apply breast cancer screening guidelines to practice?

Implementation tool

Participants’ perception

TOOLS to be used by CLINICIANS

Screening recommendations for breast cancer with mammography - in PBSG module

Majority found tool very informative

Some felt they could internalize information, therefore not requiring continued access to tool

Screening recommendations for clinical breast exams and breast self-exams - in PBSG module

General consensus that tool simple and straightforward. Some found tool simple enough for use in educating medical students and residents

Primary barrier—disagreed with CBE recommendations

Discussion video: CTFPHC breast cancer video - on CTFPHC website

Only one user for this tool

Many had difficulty accessing, opening or downloading the tool

Others preferred reading information to watching a video

TOOLS to be used with or by patients

Patient handout: breast cancer screening—what is the right choice for me?—in PBSG module

Tool useful for facilitating discussions with patients, especially the provision of a visual estimation of risk

Primary barrier for implementation—availability of tool and time constraints for discussing the tool

Patient handout: patient algorithm—hyperlink to CTFPHC website

Total consensus on value of algorithms, information is concise and clear

Could easily be internalized

No noted barriers

Patient handout: benefits and risks poster—hyperlink to CTFPHC website

Tool viewed as a valuable teaching tool for patients

Good information with supporting statistics

Several participants felt that concepts may be beyond the comprehension level of the average layperson

Patient handout: FAQs for patients - hyperlink to CTFPHC website

A valuable tool.

Good information sheet to hand out to patients that have questions.

Tool aesthetically pleasing and therefore an incentive for patient to read.

Limited awareness and restricted accessibility were barriers to implementation.

Two pages may be too lengthy for patients (tool developers consider reducing to one page for all age groups?)

  1. CBE clinical breast exam, CTFPHC Canadian Task Force for Preventive Health, FAQ frequently asked questions, PBSG practice-based small group