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Table 3 Subthemes and associated implementation outcomes and their suggested solutions

From: Process evaluation of a behaviour change approach to improving clinical practice for detecting hereditary cancer

Subtheme Implementation Outcomes Suggested solutions
Accessibility of theory underpinning TDFI Appropriateness • Internal healthcare professional facilitators trained and supported by external TDFI experts
Commitment to use of theory Acceptability
Appropriateness
• Addressing more focussed behaviours
• Internal healthcare professional facilitators trained and supported by external TDFI experts
• Flexibility around quantitative and qualitative assessment of barriers
• Rigorous research designs and process evaluations to assess application of theory and intervention fidelity
Problem complexity Acceptability
Appropriateness
Cost
• Unpick complex processes to define behaviours specific to different roles
Navigating the system and system changes Appropriateness
Feasibility
• Internal facilitators trained and supported by outside TDFI experts
• Understanding of the health system as a complex adaptive system
• Process evaluations to unpick context based factors influences on intervention effects
Stakeholder management Acceptability
Appropriateness
• Internal facilitators trained and supported by outside TDFI experts
Perceptions of the problem Acceptability Appropriateness • Addressing more focussed behaviours
• Internal facilitators trained and supported by external TDFI experts
  1. TDFI theoretical domains framework implementation