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Table 5 Themes coded to each of the TDF domains within the opportunity component of the COM-B system

From: Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework

TDF

Theme

Countries

References on barriers

References on facilitators

Environmental context and resources

Time

UK(10); Sweden(7); Australia(5); USA(5); Finland(2); Multicountry(2); Norway(2); Slovenia(2); Canada(1); Denmark(1); Netherlands(1); New Zealand(1); Portugal(1); South Africa(1); Sri Lanka(1)

[16, 20, 23, 37, 41, 47,48,49, 52, 54, 58,59,60,61,62, 65, 67, 70,71,72,73,74, 78, 83, 87, 91,92,93, 95, 97, 99, 103, 105,106,107, 109, 111, 116]

[39, 43, 70, 71, 80, 92, 93, 97]

Support

UK(12); Multicountry(4); Canada(3); Finland(3); New Zealand(2); Norway(2); South Africa(2); Sweden(2); USA(2); Brazil(1); France(1); Italy(1); Netherlands(1); Slovenia(1); Sri Lanka(1);

[46, 47, 55,56,57, 61, 63, 65, 70, 71, 75, 78, 82, 83, 88, 92, 96, 101, 105, 108, 109, 112, 114]

[20, 23, 36, 37, 39, 47, 59, 60, 62, 67, 70, 71, 78, 81, 84, 92, 97, 99, 100, 105, 110]

Resources

Finland(4); Sweden(3); UK(3); Australia(2); Multicountry(2); Canada(1); Netherlands(1); New Zealand(1); Norway(1); Slovenia(1); South Africa(1); USA(1)

[20, 23, 38, 41, 42, 47, 58, 63, 69, 74, 78, 83, 103, 109]

[20, 23, 37, 39, 42, 47, 55, 70, 78, 88, 92, 99]

Patients’ denial of the problem and resistance to accepting treatment

Australia(2); USA(2); Brazil(1); Canada(1); France(1); Finland(1); New Zealand(1); Norway(1); Sweden(1)

[41, 52, 56, 58, 63, 65, 73, 86, 97, 112, 113]

 

Patients’ feelings when asked about their drinking

UK(3); Multicountry(2); USA(2); Australia(1); France(1); New Zealand(1); Slovenia(1); Sweden(1)

[20, 23, 47, 56, 71, 78, 92, 97, 103, 115]

[58, 93]

Organization for preventive counselling

UK(5); Sweden(4); Slovenia(2); Australia(1); Canada(1); Finland(1); Multicountry(1); Netherlands(1); New Zealand(1); Norway(1); South Africa(1); USA(1)

[47, 52, 74, 78, 83, 89, 103, 109]

[39, 41, 54, 70, 71, 73, 76, 80, 91, 93, 97, 99]

Incentives for patients

Multicountry(2); UK(2); Canada(1); Italy(1); South Africa(1)

[47, 78, 83, 88, 92, 110, 112]

 

Patients’ beliefs about alcohol

Finland(2); UK(2); New Zealand(1)

[37, 38, 89, 105]

[97]

Patients with alcohol problems do not attend their appointments

UK(2); Denmark(1); New Zealand(1)

[49, 95, 97, 105]

 

Patients’ receptiveness to alcohol interventions

Australia(1); Denmark(1); New Zealand(1); Norway(1); UK(1); USA(1)

[49, 105, 116]

[58, 87, 97]

Delivering SBI can make other patients suffer

Sweden(1); UK(1)

[73, 95]

 

Familiarity with the patient

UK(2)

[105]

[71]

Social support

Patients’ feelings when asked about their drinking

UK(4); Multicountry(2); USA(2); Australia(1); Brazil(1); France(1); New Zealand(1); Norway(1); Slovenia(1); Sweden(1)

[20, 23, 47, 56, 71, 78, 88, 92, 93, 97, 99, 103, 113, 115]

[58, 93]

Patients’ reactions when asked about alcohol

UK(4); Sweden(3); Australia(1); Denmark(1); Finland(1); Multicountry(1); Norway(1)

[49, 70, 73, 84, 86, 89, 92, 95, 102, 105]

[41, 48, 49]

Doctors’ and nurses’ permissiveness towards alcohol

UK(2); Finland(1); Multicountry(1); Sweden(1); USA(1)

[20, 23, 41, 47, 89, 115]

 

Patients seeking help

Finland(2); Multicountry(2); UK(2); Brazil(1); France(1)

[41, 42, 56, 113]

[23, 41, 47, 78, 92]

Support

UK(8); Multicountry(3); Finland(2); Norway(2); Slovenia(2); Sweden(2); Italy(1); Netherlands(1); New Zealand(1); Sri Lanka(1)

[82, 99, 103]

[20, 23, 36, 37, 39, 47, 59, 62, 67, 70, 71, 78, 80, 84, 92, 97, 99, 100, 105, 110]

Patients’ receptiveness to alcohol interventions

Australia(1); Denmark(1); New Zealand(1); Norway(1); UK(1); USA(1)

[49, 105, 116]

[58, 87, 97]

Role legitimacy

Norway(1); USA(1)

[99, 115]

 

Presence of third parties in the consultation

New Zealand(1)

[97]

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