141 Barriers to and enablers of the use of the Otology Questionnaire Amsterdam in clinical practice 7 COM-B TDF Key barriers* Intervention* Policy* Strategy suggestion Opportunity Physical opportunity Environmental context and resources Lack of IT support to (automate) use the OQUA (E) Environmental restructuring Environmental planning Engaging IT technicians to enhance visibility and accessibility of the OQUA in electronic health record Evaluation of the OQUA pathway with IT expert team to optimize automatization (order request to processing results) Facilitating a smartphrase and/or graphical overview to present results directly in the anamnesis format Providing (computerized) reminders of the use in key clinical area Lack of opportunity to add personal comments to the OQUA (P) Environmental restructuring Environmental planning Evaluating and discussing with IT expert team and ENT professionals the opportunity of allowing the patient to give a brief explanation of the answers at the end of the OQUA See strategy example of knowledge (education about the content and structure of the OQUA and how to complete the OQUA at home or by mobile) Providing an example to illustrate the (previously difficult reported) questions Motivation Reflective motivation Beliefs about consequences Unclarity of the clinical significance of the OQUA (E) Education (including aspects of persuasion and modelling) Communication/ marketing, Guidelines See strategy example of knowledge (education about the outcomes of the OQUA), skills (training for interpreting scores, support by guidelines) and reinforcement. (feedback on achieved results in the clinical practice). Demonstrating clinical scenarios in which the OQUA can be (successfully) used during consultation, to determine policies and/or interventions with the patient. Lack of insight about the relevance and outcomes of the OQUA (P) Education (including aspects of persuasion and modelling) Communication/ marketing, Service provision See strategy example of knowledge (education about the outcomes and individual benefits of the OQUA) and reinforcement (providing and explaining the individual results of the OQUA to the patient) Illustrating the above with (graphic) examples and/or quotations from other patients about experienced relevant outcomes in the flyer or supporting text of the OQUA
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