. 2018 Jul 5;11(6):832–840. doi: 10.1093/ckj/sfy050

Table 1.

Components of programme design and implementation strategy selected according to HD staff with patient barriers and facilitators identified and consideration of local context from observation

Barrier/facilitator	Domains of TDF	Intervention component selected to overcome barrier or utilise facilitator (technique, mode)^*
Patients
Beliefs about positive consequences of participating in IDE on health and use of dialysis time	Beliefs about consequences	Technique: Persuasive communication, information regarding outcomes, feedback, monitoring
		Mode: Patient information leaflet,
		reassessment
Beliefs about negative consequences of participating in IDE including injury, disruption to dialysis and safety	Beliefs about consequences	Technique: Persuasive communication
	Beliefs about consequences	Mode: Exercise assessment
Low awareness of the benefits of IDE and what participation would involve	Knowledge	Technique: Information provision
	Knowledge	Mode: Patient information leaflet, exercise bulletin board, newsletters, opportunity to try the bike, exercise assessment, initial exercise sessions
Patients, beliefs about capabilities to participate in IDE considering comorbidities and age, which were perceived to be important determinants of the ability to exercise	Beliefs about capabilities	Technique: Graded tasks, social process, feedback, motivational interviewing, goal setting
	Beliefs about capabilities	Mode: Exercise assessment, initial exercise sessions, during the course of the programme
Patients’ perception that HD staff were negative about IDE	Social influences	Technique: Demonstration, encouragement and support from nursing staff of all levels
Patients’ perception that HD staff were negative about IDE	Social influences	Mode: During the course of the programme
Skills relating to participation in IDE	Beliefs about capabilities	Technique: Modelling, self-monitoring, decision making, social process, feedback
Skills relating to participation in IDE	Beliefs about capabilities	Mode: Initial exercise sessions, during the course of the programme, exercise reassessment
Staff
HD staffs’ perceptions of patients’ capabilities to participate in IDE	Beliefs about (patients) capabilities	Technique: Feedback, social process
	Beliefs about (patients) capabilities	Mode: Staff handovers, during the course of the programme
Low awareness of the benefits of IDE and exercise prescription and rehabilitation in general	Knowledge	Technique: Information provision
	Knowledge	Mode: Training programme, monthly reports and patient feedback, local IDE guidance and reminder prompts
Skills and beliefs about capabilities related to running an IDE programme, particularly setting up, operating the bikes and encouraging patient participation	Skills	Technique: Monitoring, problem solving, decision making, rehearsal of skills, demonstration
	Skills	Mode: Training programme
Beliefs about negative consequences of IDE on staff workload	Beliefs about consequences	Technique: Self-monitoring (patients), information regarding behaviour and outcome
	Beliefs about consequences	Mode: Exercise assessment and initial exercise sessions, implementation group
Beliefs about the role of HD staff (nurses) in the provision of IDE (with discrepancies in beliefs about this depending on the seniority of staff)	Social/professional role and identity	Technique: Modelling of IDE provision by nursing staff, encouragement and support
	Social/professional role and identity	Mode: During the course of the programme, posters
Limited time and busy workloads	Environmental context and resources	Technique: Changes to the environment to facilitate the behaviour
Limited time and busy workloads	Environmental context and resources	Mode: Implementation group

Technique, component description; mode, how the component was delivered; content, what was delivered; IDE, intradialytic exercise; TDF, theoretical domains framework.