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Table 4 List of substantive gaps, challenges and barriers identified (items in bold are the focus of this article), with their corresponding TDF domain(s)

From: Contextualized analysis of a needs assessment using the Theoretical Domains Framework: a case example in endocrinology

#

Challenge

AGHD

Acromegaly

PGD

TDF Domains*

1

Challenges communicating with patients, especially in overcoming patients’ barriers and resistances

X

X

X

1, 2, 4, 5, 6

2

Challenges with the treatment decision-tree

X

X

—

1, 2, 4, 9, 10

3

Challenges associated with the transition from childhood to teen years, to adulthood

—

—

X

1, 2, 3, 4, 6, 11

4

Insurance companies processes interfere with clinical decisions

X

X

X

11

5

Use of appropriate materials to support patient education

X

X

X

1, 11

6

Referrals between general pediatricians and pediatric endocrinologists (timeliness, appropriate pre-testing)

—

—

X

1, 4, 6

7

Perceptions of GH therapy

X

—

—

6

8

Lack of clarity in roles and responsibilities

X

X

X

3

9

Application of diagnostic tests

X

—

X

2, 4

10

Lack of screening by primary care

—

X

—

6

11

Identifying tests needed for at risk co-morbidities

—

—

X

2, 6

12

Presenting Treatment as optional

X

—

—

6

13

Inconsistencies between labs (system)

X

X

X

11

  1. * "1 – Knowledge"; "2 – Skills"; "3 - Social/Professional Role and Identity"; "4 - Beliefs about Capabilities"; "5 – Optimism"; "6 - Beliefs about Consequences"; "7 – Reinforcement"; "8 – Intentions"; "9 – Goals"; "10 - Memory, Attention, and Decision Processes"; "11 - Environmental Context and Resources"; "12 - Social Influences"; "13 – Emotion"; and "14 - Behavioral Regulation".