136 Chapter 7 Table 5. Identified enablers of the use of the OQUA as perceived by ENT professionals. COM-B TDF domain Setting* Theme* FRQ CS PS Physical opportunity Environmental context and resources 1,2,3 Content-strong questionnaire to assess all relevant ear complaints and their severity in the clinical setting 9/15 No 0/15 Reflective motivation Beliefs about consequences 1,2,3 Perceived value to measure effectiveness of interventions 12/15 No 5/15 Reflective motivation Goals 1,2,3 Assigned importance of learning from the outcomes as an individual, department and/ or organization 8/15 No 2/15 Reflective motivation Goals 1,2,3 Assigned relevance of being able to compare and share outcomes in research settings 8/15 No 3/15 Reflective motivation Social/professional role and identity 2,3 Experienced professional obligation of being able to socially justify your medical interventions 4/15 No 0/15 Reflective motivation Social/professional role and identity 1,3 Experienced scientific obligation to maintain classification as a top clinical or academic hospital 4/15 No 0/15 Reflective motivation Beliefs about consequences 1,2,3 Perceived value to identify, capture and quantify all of the patient’s relevant ear complaints 11/15 No 3/15 Reflective motivation Goals 1,2,3 Assigned importance to proper preparation for consultation or anamnesis 7/15 No 0/15 Reflective motivation Goals 1,2,3 Awareness of discrepancy between doctors’ and patients’ perceptions 8/15 No 2/15 Reflective motivation Social/professional role and identity 1,2 Experienced professional obligation to assess patients’ relevant complaints 3/15 No 0/15 * Setting: 1 = Amsterdam UMC, location VUmc, 2 = Noordwest Ziekenhuisgroep, location Alkmaar, 3 = Deventer Hospital * Theme: represent a brief statement about the perceived barrier or enabler * COM-B: Capability, Opportunity, Motivation – Behaviour; TDF: Theoretical Domains Framework *FRQ: frequency of which a theme was mentioned among ENT professionals ; CS: presence of Contrasting Statements yes/no ; PS: Perceived Strength represents how often the theme was mentioned as the biggest or most important barrier.
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