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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]