Table 3.
Results of part 1 of the survey (focusing on determinants)
| Determinants intended to be modified by the program | Relevance* | Modification** | |||
|---|---|---|---|---|---|
| Total | IG | CG | IG | ||
| % (n) | % (n) | % (n) | % (n) | ||
| GE | 1 Knowledge of HCP | 71.4 (15) | 80.0 (8) | 63.6 (7) | 100.0 (10) |
| 2 Routine | 52.3 (11) | 30.0 (3) | 72.7 (8) | 90.0 (9) | |
| 3 Availability of medication lists | 61.9 (13) | 40.0 (4) | 81.8 (9) | 80.0 (8) | |
| 4 Identification of the target group | 23.8 (5) | 40.0 (4) | 9.0 (1) | 90.0 (8) | |
| 5 Feasibility of checklists | 90.5 (19) | 90.0 (9) | 90.9 (10) | 80.0 (8) | |
| 6 Patients’ ability for self-management | 90.5 (19) | 90.0 (9) | 90.9 (10) | 80.0 (8) | |
| 7 Language barrier | 76.2 (16) | 70.0 (7) | 81.8 (9) | 70.0 (7) | |
| 8 Patients’ knowledge | 57.1 (12) | 60.0 (6) | 54.5 (6) | 90.0 (9) | |
| 9 Standardization of medication lists | 61.9 (13) | 60.0 (6) | 63.6 (7) | 70.0 (7) | |
| Mean of all items GE | 65.1 (13.7) | 62.2 (6.2) | 67.6 (7.4) | 83.3 (8.2) | |
| NL | 1 Apply motivational interviewing | 93.3 (28) | 100.0 (17) | 84.6 (11) | 100.0 (17) |
| 2 Giving good advice to patients | 96.7 (29) | 100.0 (17) | 92.3 (12) | 100.0 (17) | |
| 3 More attention for the motivation of the patient | 96.7 (29) | 100.0 (17) | 92.3 (12) | 100.0 (17) | |
| 4 PN gives lifestyle advice in an acceptable and feasible way | 93.3 (28) | 94.1 (16) | 92.3 (12) | 100.0 (17) | |
| 5 PN meets patients’ information needs | 93.3 (28) | 94.1 (16) | 92.3 (12) | 94.1 (16) | |
| 6 PN drafts feasible targets for patients | 96.7 (29) | 100.0 (17) | 92.3 (12) | 100.0 (17) | |
| 7 E-health support for self-management | 83.3 (25) | 94.1 (16) | 69.2 (9) | 88.2 (15) | |
| Mean of all items NL | 93.3 (28) | 97.5 (16.6) | 87.9 (11.4) | 97.5 (16.6) | |
| PL | 1 Availability of educational materials for recommendation 1 | 100.0 (13) | 100.0 (7) | 100.0 (6) | 28.6 (2) |
| 2 Availability of training for GPs | 69.2 (9) | 57.1 (4) | 83.3 (5) | 42.9 (3) | |
| 3 Labeling of medication records | 100.0 (13) | 100.0 (7) | 100.0 (6) | 100.0 (7) | |
| 4 Accessibility of mMRC scale | 100.0 (13) | 100.0 (7) | 100.0 (6) | 100.0 (7) | |
| 5 Accessibility of checklists for recommendation 2 | 92.3 (12) | 85.7 (6) | 100.0 (6) | 100.0 (7) | |
| 6 Availability of the recommendations | 100.0 (13) | 100.0 (7) | 100.0 (6) | 100.0 (7) | |
| 7 Availability of training for personnel on dyspnea assessment | 92.3 (12) | 85.7 (6) | 100.0 (6) | 71.4 (5) | |
| 8 Availability of educational materials for recommendation 3 | 100.0 (13) | 100.0 (7) | 100.0 (6) | 100.0 (7) | |
| 9 Availability of treatment plans | 92.3 (12) | 85.7 (6) | 100.0 (6) | 85.7 (6) | |
| 10 Accessibility of checklist for recommendation 3 | 92.3 (12) | 85.7 (6) | 100.0 (6) | 85.7 (6) | |
| 11 Availability of peak flow meters | 92.3 (12) | 85.7 (6) | 100.0 (6) | 85.7 (6) | |
| 12 Availability of demonstration inhalers | 100.0 (13) | 100.0 (7) | 100.0 (6) | 100.0 (7) | |
| 13 Availability of educational materials on use of inhaler devices | 100.0 (13) | 100.0 (7) | 100.0 (6) | 100.0 (7) | |
| 14 Training of GPs on inhaler devices | 100.0 (13) | 100.0 (7) | 100.0 (6) | 85.7 (6) | |
| 15 Presence of additional staff (educator) | 84.6 (11) | 71.4 (5) | 100.0 (6) | 71.4 (5) | |
| Mean of all items PL | 94.4 (12.3) | 90.5 (6.3) | 98.9 (5.9) | 83.3 (5.9) | |
| UK | 1 Skills of HCP to raise the issue of weight with patients | 45.9 (28) | 69.2 (9) | 39.6 (19) | 100.0 (13) |
| 2 Skills of HCP to measure waist circumference | 50.8 (31) | 53.8 (7) | 50.0 (24) | 92.3 (12) | |
| 3 Skills of HCP to assess patients’ willingness to change | 47.5 (29) | 61.5 (8) | 43.8 (21) | 84.6 (11) | |
| 4 Availability of resources to inform and motivate patients | 67.2 (41) | 84.6 (11) | 62.5 (30) | 100.0 (13) | |
| 5 Availability of prescriptive weight loss information | 83.6 (51) | 92.3 (12) | 81.3 (39) | 100.0 (13) | |
| 6 Work with HCP whom manage obese and overweight patients to improve their knowledge on diets | 66.7 (32) | 76.9 (10) | 45.8 (22) | 92.3 (12) | |
| 7 Availability of information about referral pathways | 59.0 (36) | 76.9 (10) | 54.2 (26) | 92.3 (12) | |
| Mean of all items UK | 60.1 (35.4) | 73.6 (9.6) | 53.9 (25.9) | 94.5 (12.3) | |
IG intervention group, CG control group, GE Germany, NL The Netherlands, PL Poland, UK United Kingdom
*Refers to item 1 of the framework depicted in Table 1
**Refers to item 2 of the framework depicted in Table 1. Numbers show the proportion of respondents who answered the respective questionnaire item with “agree” or “partly agree”