138 Chapter 7 COM-B TDF domain Setting* Theme* FRQ CS PS Physical Opportunity Environmental context and resources 1,3 Lack of opportunity to add personal comments to the OQUA 8/25 No 4/25 Physical Opportunity Environmental context and resources 2,3 Experienced time investment in order to complete the OQUA 6/25 No 3/25 Physical Opportunity Environmental context and resources 1,2 Lack of opportunity to complete the OQUA at the outpatient clinic 6/25 Yes 0/25 Reflective motivation Beliefs about consequences 1,2 Lack of linkage between OQUA and a consultation appointment 4/25 Yes 0/25 Automatic Motivation Reinforcement 1,2,3 Insufficient feedback on the results of the OQUA in the consultation 14/25 No 7/25 Automatic Motivation Reinforcement 1 Lack of (graphical) overview of scores in the electronic patient record after completing the OQUA 2/25 No 0/25 * 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. “The main incentive to complete the questionnaire is if I know the doctor is going to do something with it. That he gives feedback: I have seen your answers, and based on that, I’m going to do this … Then it becomes clear, completing the questionnaire is important for you and me.” Table 7 shows all identified enablers of the use of the OQUA as perceived by patients. Three key enablers are highlighted in Table 7. In general, the patient’s motivation to complete the OQUA was high as the results can be used to provide the ENT professional, department or organization with information and feedback about the treatment. Patients perceived the OQUA as an appropriate method of expressing clearly what they experience, what they encounter or what they still need. In particular, the ability to share these results and feedback was considered by most patients as the main incentive to complete the OQUA, as it can improve the care for other patients and broaden the science. The following quote illustrates these findings.
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