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Table 1 Statements in the Influences on Patient Safety Behaviours Questionnaire matched to the 11 domains of barriers to behaviour change [21]

From: Using behaviour change and implementation science to address low referral rates in oncology

Domain Questions Target behaviour
Knowledge I know what the guidelines say about the need to …
I fully agree with the guidelines which instruct staff to …
… ensure that every patient at high risk of Lynch syndrome is referred to genetic counselling.
Skills *Training is not offered to me regularly enough to …
*Training is not adequate to …
Social/profession role and identity *It isn’t my responsibility to …
I am clear about what my role should be in the process to …
Beliefs about capabilities *I do not find it easy to …
*I have previously encountered problems when trying to …
Beliefs about consequences *It does not matter too much if I do not…
It will be bad for the patient if I do not …
Motivation and goals *Emergencies and other priorities get in the way of me being able to …
*Other guidelines conflict with me being able to …
Memory, attention and decision-making processes I habitually (or usually) …
*There are justifiable reasons why often decide not to …
Environmental context and resources *There is not a good enough system in place to …
I have the necessary resources (e.g. correct/enough equipment, staff, etc) to do …
Verbal and written communication between staff is clear enough for me to…
Social influences *Other staff don’t seem to …
My superiors would like me to …
Emotion *I feel anxious if I think about having to …
*I worry if I think about having to …
Behavioural regulation/action planning *Plans in my head often get muddled when trying to …
*Things are too unpredictable to make plans to …
  1. Respondents indicated agreement or disagreement with the statements on a five point Likert scale: (1 = strongly agree to 5 = strongly disagree)
  2. Note: Each question is ended by the stated target behaviour: “to ensure that every patient at high risk of Lynch syndrome is referred to genetic counselling.” Questions marked with a *are stated as barriers and scores were reversed for analysis