Thesis

140 Chapter 7 Table 8. Implementation strategy based on the identified key barriers. COM-B TDF Key barriers* Intervention* Policy* Strategy suggestion Capability Psychological capability Knowledge Lack of knowledge regarding the use of the OQUA (E) Education Communication/ marketing, Service Provision Organizing online/physical meetings with ENT professionals to provide information on the content, objective and outcomes of the OQUA: when to use, how to use, why to use? Making the above information available in a (digital) document for reference in clinical practice. Lack of knowledge about the objective, content and usefulness of the OQUA (P) Education Communication/ marketing, Service provision Developing supporting text as an introduction to the OQUA in the electronic patient record to provide information on content, objective and outcomes of the OQUA: why to complete, how to complete, what (individual) benefits to expect? Making the above information available in a flyer to give to the patient after their consultation at outpatient clinic. Capability Physical capability Skills Lack of skills to access the OQUA (E) Training Communication/ marketing, Service Provision Organizing online/physical meetings with ENT professionals to demonstrate the access and use of the OQUA in the electronic health record: how to use, how to interpret, how to document? Making the above information available in an instruction video for reference in clinical practice Lack of skills to interpret the scores (E) Training Communication/ marketing, Service Provision, Guidelines Developing guidelines to interpret OQUA scores: offering normal values and the minimal important change (both currently in progress) Offering clinical scenarios during the meeting that allow practice with the guidelines, followed by (individual) feedback

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