TABLE 3.
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.