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Table 6 Factors related to “Motivation” and representative quotations

From: Investigation of factors influencing the implementation of two shared decision-making interventions in contraceptive care: a qualitative interview study among clinical and administrative staff

ConstructRight For Me implementation factorQuotations
Social/professional role and identityDemonstrating professional behaviors and qualities that influence use of the intervention“We did not need a whole lot of training, because this is what I do all the time. So, I have different decision tools, I found them useful, and I did not—I’ve been doing it for 20 years ... I did not need a lot of training to know how to use these with women. Because I also have been trained in shared decision making, and motivational interviewing, and all of that.” (002, Clinic 1, Clinical role, Decision aids + Training)
Beliefs about consequencesBelieving that use of the interventions enhances SDM, or not“I’d be curious to know what the study shows as far as patients who took the survey who also said they watch the video. It’s just a tool that was much more hands off for me. So I do not know that it’s not effective. I just did not, when patients were watching it, they were watching it by themselves in the waiting room and I do not know how it spoke to them or how they responded to it. Which is something I’m curious to hear as the study results come out. Because I’m not anti-video. I just do not see it the same way as I do the other tools.” (013, Clinic 11, Clinical role, Both interventions)
ReinforcementAn external stimulus that enhances or serves as a motive for implementation“I know that there was one specifically where a woman came in to start on birth control pills for the first time. She was like in her early, early 20’s. And we just used that tool to kind of go over, ‘Well, this is the short-acting method. This is the long-acting method.’ She was starting college or was a college student, so she felt like a long-acting contraceptive method might be better for her, and she ended up going home with an IUD as opposed to the birth control pill, so it just felt like to her it fit her needs better. And she was able to see that clearly on that sheet – that there were long-acting methods as opposed to short-acting and that being more of a fit for her.” (020, Clinic 9, Clinical role, Both interventions)