TABLE IV.

Barriers

Descriptive criteria	Frequency
Knowledge	11
Lack of awareness
Lack of familiarity
Forgetting
Attitudes/motivation	7
Lack of agreement (for example, value of the knowledge)
Lack of applicability (for example, context or patient factors)
Lack of expectancy (belief that efforts will not yield desired effects)
Behaviour	5
External barriers	16
Factors associated with patients (for example, different values or preferences)
Challenges associated with knowledge use as an innovation (for example, not part of normative context)
Factors associated with environmental factors (for example, insufficient funding, staff, time)