139 Barriers to and enablers of the use of the Otology Questionnaire Amsterdam in clinical practice 7 “Through the results of the questionnaire, you get more insight into the patient, in terms of: what does the patient think, what does the patient feel, what does the patient want? That’s what makes health care better. For another person, but also for me.” Table 7. Identified enablers of the use of the OQUA as perceived by patients COM-B TDF domain Setting* Theme* FRQ CS PS Physical Opportunity Environmental context and resources 1,2,3 Experienced adequate support to access the OQUA 18/25 Yes 0/25 Physical Opportunity Environmental context and resources 1,2,3 Content-strong questionnaire that covers all relevant ear complaints 8/25 No 0/25 Reflective motivation Beliefs about consequences 1,3 Perceived value of increased time efficiency during consultation 3/25 No 1/25 Reflective motivation Beliefs about consequences 1,2,3 Perceived value of better preparation for consultation and improved understanding of own complaints 13/25 No 4/25 Reflective motivation Goals 1 The willingness to participate in decision-making about the treatment or intervention 3/25 No 0/25 Reflective motivation Goals 1,3 The need of being able to discuss the impact of complaints 6/25 No 0/25 Reflective motivation Beliefs about consequences 1,2,3 Perceived value of providing feedback to support other patients, the organization or science 21/25 No 15/25 Reflective motivation Goals 1,2,3 The desire to contribute to the improvement of health care 17/25 No 5/25 * 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.
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