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Table 1 Comparison of TDF determinant mapping across mappers

From: Comparing the application of two theoretical frameworks to describe determinants of adverse medical device event reporting: secondary analysis of qualitative interview data

Determinant themes from AMDE study TDF domains selected by mappers
LD ARG Domain Match
PHYSICIAN BELIEFS
 AMDEs considered expected or unavoidable and not adverse unless outcomes catastrophic; viewed as more severe in other specialties Beliefs about consequences Beliefs about consequences Yes
Social-professional role and identity – No
 AMDEs within 2 years of use were considered unusual Beliefs about consequences Beliefs about consequences Yes
 Views about cause of AMDEs confounded by multiple factors Beliefs about consequences – No
– Knowledge No
 Incidence of AMDEs has decreased, thus devices were thought to be improved Beliefs about consequences – No
– Optimism No
Sub-total unique or matching domains 2 3 2/7 (28.6%)
POLICIES, PROCESSES or SYSTEMS
 Follow-up of device-related outcomes beyond short-term results done elsewhere Environmental context and resources Environmental context and resources Yes
Social-professional role and identity – No
 Devices implanted not recorded in patient records Environmental context and resources Environmental context and resources Yes
 No hospital, national or international systems for AMDE reporting Environmental context and resources Environmental context and resources Yes
– Reinforcement No
Knowledge – No
Behavioural regulation – No
Sub-total unique or matching domains 4 2 3/7 (42.9%)
DEVICE MARKET
 Use of specific devices often determined by purchase group contract obligations Environmental context and resources Environmental context and resources Yes
 Lack of responsiveness to AMDEs from industry Reinforcement Reinforcement Yes
Knowledge – No
Optimism – No
Beliefs about consequences – No
– Environmental context and resources No
Sub-total unique or matching domains 5 2 2/6 (33.3%)
Total unique or matching domains 6 5 7/20 (35.0%)
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BMC Health Services Research

ISSN: 1472-6963

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