Table 1.
The interview guide.
| I. Related to Organizational readiness for change |
| 1. What would you say are the clinic's main health priorities? |
| 2. Describe how cancer screening is a priority for the mission of the clinic? |
| 3. What does your clinic do to stay current on cancer screening guidelines? |
| 4. Do you think your clinic needs to implement new strategies to cancer screening regarding breast, cervical and/or colorectal cancer? What resources are currently available? |
| 5. Who decides what are the best interventions/services for the patients? If you had a specific idea you wanted to promote, how would it be addressed? |
| 6. How would you feel about participating in the implementation of a cancer-screening intervention at your clinic? Where could you contribute? Who would have to get involved? What would you need? Do you think you would receive it from management? |
| 7. How would a cancer-screening program impact your personal practice? |
| 8. What does the clinic do to encourage team work and collaboration? Do you feel an active member of a team? |
| 9. What staff do you consider to be part of your team? |
| 10. Have you heard about the new breast cancer screening guidelines? How did you hear about them? What do you think about the guidelines? Have you adopted them? How? |
| II. Related to Organizational facilitators and barriers to cancer screening. |
| 11. I am going to ask you about 3 types of cancer: Breast, cervical and colorectal cancer: For each type, can you tell me what kind of cancer screening services does this health care facility provide and how do patients access it? |
| 12. What is it about cancer screening that makes it easy/difficult to recommend it to your patients? Can you specify for breast, cervical and colorectal cancer? |
| 13. Think about a situation when you recommended cancer screening and a situation when you didn't: What do you think were the most influential factors in these decisions? |
| 14. Do you feel talking about cancer screening affects your patient/provider relationship? How? |
| 15. When you recommend screening to a person. Can you follow up on your recommendation? Who does the follow up? |