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Table 2 Using the C-BiLLT in practice, barriers (−) and facilitators (+) experienced by all users, by clinicians using the C-BiLLT with the intended population, and by clinicians using the C-BiLLT in lieu of traditional language tests

From: Implementing the language comprehension test C-BiLLT: a qualitative description study using the COM-B model of behaviour change

 

Capability

Opportunity

Motivation

Factors Experienced by

Physical

Psychological

Physical

Social

Reflective

Automatic

All C-BiLLT users regardless of population or mode of assessment

+General assessment skills

+ Professional skill set (e.g., clinical reasoning, communication)

- Incompatibility of C-BiLLT software with organisation’s IT environment/policies

- Low status

+Evidence-based

+Agency

 

- Insufficient practice

   

+ A smooth assessment

 

Clinicians using C-BiLLT with intended population

- Lack of skills to accommodate for vision impairments during assessment

- Lack of knowledge re: vision impairments

- Equipment issues: lack of budget, lack of space, and/or lack of equipment

 

+ Makes it possible to “uncover what’s within”

- Technology related frustrations

 

- Lack of skills to use eye tracking equipment

- Difficulty interpreting clients’ behaviour

  

+ Beliefs about positive consequences for clients

 

Clinicians using C-BiLLT in lieu of traditional language tests

  

+ Easy to organize the assessment