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Table 4 Barriers and enablers (including belief statements and sample quotes) of fidelity to the proposed intervention delivery for non-relevant domains

From: A qualitative study exploring perceived barriers and enablers to fidelity of training and delivery for an intervention to reduce non-indicated imaging for low back pain

Domain

Belief statement (Enabler/Barrier)

Sample quote

Frequency (out of 10)

Knowledge

No relevant quotes coded to this domain

Skills

No relevant quotes coded to this domain

Social, professional role and identity

No relevant quotes coded to this domain

Beliefs about consequences

No relevant quotes coded to this domain

Reinforcement

Clinicians' established practice routines may make delivering the intervention as intended challenging. (Barrier)

“I think similar to before, just having this become your autopilot vs. what I use right now when this conversation comes up. It’s remembering to switch to this, which I guess in reality, is not too far different from what I already do, but for some people, maybe it would be a bit different.” DC003

1

Intention

No relevant quotes coded to this domain

Emotion

I would feel comforted by having a training manual to refer back to in order to know that I am delivering the intervention as intended. (Enabler)

[On the importance of a training manual]

“For me, I think it would provide more comfort. I think instead of being something seen as a time consumer, I think I’d feel that as least I was being thorough and that I wasn’t missing anything.” DC001

1

  1. The relevance of a domain was determined through the consideration of the frequency of the belief statements, the presence of conflicting beliefs, and the perceived strength of the impact a belief may have on enhancing fidelity to provider training
  2. GP: General Practitioner; DC: Doctor of Chiropractic