144 Chapter 7 COM-B TDF Key enabler* Intervention* Policy* Strategy suggestion Motivation Reflective motivation Goals Assigned importance of learning from the outcomes as an individual, department and/or organization (E) Education (including aspects of persuasion and modelling) Incentivisation Communication/ marketing, Service provision See strategy suggestion of reinforcement (providing an overview with the differences between pre- and postoperative scores) and beliefs about consequences (discussing the current clinical practices based on the results) Evaluating differences between individuals, departments of organizations Organizing sessions to observe the work of others Assigned relevance of being able to compare and share outcomes in research settings (E) Education (including aspects of persuasion and modelling) Incentivisation Communication/ marketing, Service provision See strategy suggestion of reinforcement (providing an overview with the differences between pre- and postoperative scores) and beliefs about consequences (evaluating and discussing the current clinical practices based on the results) Considering which treatment options need to be evaluated with the OQUA (surgical and non-surgical) Setting up research settings and providing this feedback according to the strategy of reinforcement Awareness of discrepancy between doctors’ and patients’ perceptions (E) Education (including aspects of persuasion and modelling) Incentivisation Communication/ marketing, Service provision See strategy suggestion of reinforcement (providing an overview with the differences between pre- and postoperative scores) and beliefs about consequences (evaluating and discussing the current clinical practices based on the results) Highlighting examples where the objective outcome (e.g. audiogram) does not match the subjective outcomes (pre- and postoperative scores OQUA) The desire to contribute to the improvement of health care (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) and beliefs about consequences (mentioning the general benefits for health care) * E = ENT professionals, P = Patients * Intervention functions and policies are reprinted from “The Behaviour Change Wheel: A guide to designing interventions” (p.113-115, p.136) by Michie, S., Atkins, L., West, R., 2014, UK: Silverback Publishing.
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