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Table 2 Key TDF enablers and barriers domains to use PROMs among interdisciplinary healthcare team

From: Developing theory-informed knowledge translation strategies to facilitate the use of patient-reported outcome measures in interdisciplinary low back pain clinical practices in Quebec: mixed methods study

TDF Domain Close-ended Question Enabler/Barrier
Knowledge Awareness of the objectives of using PROMs in clinic: 13 (72%) Enabler
Skills Having the skills needed to interpret the results of PROMs: 11 (61%) Enabler
Skills New skills are required to successfully use PROMS in the management of patients with LBP: 15 (83%) Barrier
Social/Professional Role and Identity Believing that using PROMs is one of the HCPs’ role in clinic for individual patient management of LBP: 15 (83%) Enabler
Social/Professional Role and Identity Professional role as HCPs in using PROMs in clinics was not clear: 15 (83%) Barrier
Optimism Expecting improved patient outcomes as a result of using PROMs in the management of patients with LBP: 11 (61%) Enabler
Optimism Optimism regarding the benefits of using PROMs in the management of patients with LBP: 13 (72%) Enabler
Beliefs about Consequences Believes in the benefits of using PROMs in the management of patients with LBP: 13 (72%) Enabler
Beliefs about Consequences Using PROMs in clinical practice is not necessary to improve patient outcomes: 12 (67%) Barrier
Reinforcement Having better patient health outcomes makes HCPs continue using PROMs in the management of patients with LBP: 12 (67%) Enabler
Intentions HCPs’ commitment to use PROMs in the treatment of patients with LBP in the next three months: 12 (67%) Enabler
Intentions Having a strong intention to use PROMs in the treatment of patients with LBP in the next three months: 14 (78%) Enabler
Goals The use of PROMs in the treatment of patients with LBP is not more important and prioritized compared to only using clinical outcomes: 15 (83%) Barrier
Goals The plan of how to use PROMs in clinical practice is not clear: 10 (56%) Barrier
Decision Processes The use PROMs is difficult in making treatment decisions: 11 (61%) Barrier
Environmental Context and Resources Lack of time to use PROM scores in the clinical setting: 12 (67%) Barrier
  1. LBP Low Back Pain, PROMs Patient Reported Outcome Measures, TDF Theoretical Domain Framework