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. 2022 Nov 17;12(6):7414–7426. doi: 10.1002/cam4.5445

TABLE 3.

Summary of key barriers and facilitators for providing HBS

Domain Barrier Facilitator
Knowledge

Lack of scientific evidence about benefits health behaviors for CCSs

Lack of knowledge of late effects

Lack of knowledge about healthy behaviors

Knowledge of importance of HBS in CCSs

Knowledge of late effects

Knowledge on how to pass on health information and to stimulate CCSs

Knowledge about health behaviors

Skills Lack of skills to motivate CCSs with HBS

Having the necessary skills to pass on information on health behaviors

Having the necessary skills to identify right timing to raise issues on health behaviors

Having the necessary skills to motivate CCSs

Social/professional role and identity

Sensitive nature of some health behaviors limits professional role of HCP

Autonomous decisions of CCSs limits professional role of HCP

Own responsibility of CCSs limits professional role of HCPs

Profession HCP important in HBS

Specialty HCP important in HBS

Beliefs about capabilities

Lack of perceived competence in HBS

Behavior patterns and addictions limiting capabilities of HCPs in HBS

Beliefs about consequences

Belief CCSs themselves are a barrier for adopting and maintaining healthy behaviors

Belief CCSs will not apply advice in real life

Belief education of CCSs by HCP will positively affect health behaviors in CCSs
Reinforcement Motivated CCSs act as positive reinforcement for HBS
Environmental context and resources*

Lack of good organizational structure for referring CCSs to other internal and external HCPs

Barriers to implementation of HBS in current care

Lack of available time

Good organizational structure for referring CCSs to other internal and external HCPs

Good organizational structure relating to the outpatient clinic visit

Available resources for HCPs to facilitate HBS

Available informational resources to provide to CCSs

Available resources for CCSs to stimulate exercise

Available time for HBS

Social influences Health behavior discussions with other HCPs
*

Dominant domain of the Theoretical Domains Framework based on high frequency.