FIGURE 1.

Factors most frequently identified as barriers to early, systematic, or oncology-integrated palliative care for patients with advanced colorectal cancer. Survey questions were posed using an ordinal scale (1–7) and framed as “A barrier I face is….” All “agree” responses (entirely = 7; mostly = 6; somewhat = 5) were collapsed as barriers. All “disagree” responses (entirely = 1; mostly = 2; somewhat = 3) were collapsed as facilitators. Responses that neither agreed nor disagreed (= 4) were labelled neutral. “Don’t know” responses were scored as 0. Survey questions were ranked by the percentage of observed barrier responses (largest to smallest). Barrier strength was calculated as the average response value. Questions are mapped to the Michie COM (Capability, Opportunity, Motivation) Behaviour Change Wheel. abbr. = abbreviated; PC = palliative care.