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. 2019 Jun 27;6(2):195–208. doi: 10.3934/publichealth.2019.2.195

Table 2. Theoretical Framework of Acceptability [27] illustrative quotes from pharmacists' interviews in the Headstrong program.

Theoretical Framework of Acceptability (TFA) constructs [27] Illustrative quote
Perceived Effectiveness “Well, helping patients or making them feel that they don't have to, you know, necessarily be alone. Like the nice thing about the Headstrong program was when you were counselling on a new medication or identifying a problem, and you could tell that the client was sort of shy to talk about it, you could be like, ‘Here's this great handout. You should check out this website. It's really narrowed down things for you. And, you know, you can do it in the comfort of your own home,’ and that sort of thing. So that was really great.” (Participant 7)
Burden “But I think it just gives resources to potentially do a better job in some areas. And it doesn't take a lot of time. So I don't really see how it's not sustainable.” (Participant 5)
Self-efficacy “I really liked the behavioural interviewing class or the presentation. I found that really helpful. Especially in the new year with like stop smoking and everything because we had a few patients coming up wanting to stop smoking. I found that really, really helpful. And I use it in my everyday practice for other things like blood pressure, cholesterol and all that kind of stuff too. So I did find that really helpful. And it kind of got me interested…. I did a couple more like CEs and courses just on the behavioural interviewing because I found that really helpful for just everyday practice.” (Participant 9)
Ethicality “The girls, the other pharmacists, have mentioned it to a couple of people where they may not have before. Mentioned, you know, here's a resource that's available to you. But we're pretty darn good about mental health here. We advocate for people a lot, and we deal with a lot of people that are really marginalized [location]. So we're pretty darn good about it, if I do say so myself.” (Participant 3)
Intervention Coherence “If we identify patients that are under any of those conditions that Headstrong provides resources for, then we can provide a resource to those patients, along with our counselling session. …We have signage located throughout the store. We have the Headstrong cards next to the counselling session. And we have the Navigator [resources catalog] on our desktop, as well as a hard copy for a resource for pharmacists to use if they need to or wish to.” (Participant 1)
Affective Attitude “I think it's a natural fit for us because of our availability to the client. I think the more services that we can offer, the better.” (Participant 4)
Opportunity Costs “The biggest deterrent I think would be if you're really busy, like overwhelmingly busy, and you know that doing that is going to take up x amount of time that you may not have. …But yeah, where I work by myself, it can get kind of overwhelming sometimes. You know, if you want to take 5 or 10 minutes to sit down and discuss something with a patient, but you don't really have that time.” (Participant 2)