143 Barriers to and enablers of the use of the Otology Questionnaire Amsterdam in clinical practice 7 Table 9. Implementation strategy based on the identified key enablers. COM-B TDF Key enabler* Intervention* Policy* Strategy suggestion Motivation Reflective motivation Beliefs about consequences Perceived value to measure effectiveness of interventions (E) Education (including aspects of persuasion and modelling) Communication/ marketing, Service provision, Guidelines See strategy suggestion of reinforcement (providing an overview with the differences between pre- and postoperative scores, evaluating these results in meeting) Highlighting examples of the results to discuss the current practices in the meeting (see goals) Perceived value to identify, capture and quantify all of the patient’s relevant ear complaints (E) Education (including aspects of persuasion and modelling) Communication/ marketing, Service provision, Guidelines See strategy example of knowledge (education about the outcomes of the OQUA), skills (training for interpreting scores, support by guidelines) and beliefs about consequences (demonstrating clinical scenarios in which the OQUA can be (successfully) used during consultation) Perceived value of better preparation for consultation and improved understanding of own complaints (P) Education (including aspects of persuasion and modelling) Communication/ marketing, Service provision See strategy suggestion of knowledge (developing supporting text about the content, objective and outcomes of the OQUA) Mentioning individual benefits in the supporting text: e.g. better preparation of the interview, more insight into own complaints, enhanced participation in shareddecision-making and increased time efficiency during the consultation. Making the above information available in a flyer to give to the patient after their consultation at outpatient clinic. Perceived value of providing feedback to support other patients, the organization or science (P) Education (including aspects of persuasion and modelling) Communication/ marketing, Service provision See above Mentioning the general benefits for health care in the supporting text: e.g. evaluating all pre- and postoperative scores will help in comparing and improving treatments from the patients’ perspective
RkJQdWJsaXNoZXIy MjY0ODMw