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. 2020 Feb 11;70(694):e330–e338. doi: 10.3399/bjgp20X708173

Table 2.

Overarching meta-themes identified from GP and patient interviews

Meta-theme GP view Patient view Associated TDF domains
1. Patient knowledge of UTIs Women are very knowledgeable about their UTI There is a large variation in patient knowledge:
  • first experience

  • prevalence

  • types of UTI and causes of urinary symptoms

Knowledge
Skills
Professional role and identity
Beliefs about capabilities
Beliefs about consequences
Memory, attention, and decision making
Environmental context and resources
Social influence
2. View of the consultation Majority are telephone consultations
Listen to the patient symptoms
Query red-flag symptoms
Decide on appropriate treatment
Many find the consultation frustrating
Do not feel like they are being listened to Feel that GP views them as a catch-up consultation
Knowledge
Skills
Professional role and identity
Beliefs about capabilities
Beliefs about consequences
Memory, attention, and decision making
Environmental context and resources
Emotion
3. Treatment expectations Women generally expect antibiotics Do not want a quick fix:
  • wants advice

  • wants reassurance

Skills
Professional role and identity
Beliefs about consequences
Intentions
Goals
Memory, attention, and decision making
Environmental context and resources
Social influence
Emotion
4. Self-care, safety netting, and prevention Mainly give safety-netting advice
Other advice usually only given to more experienced patients
Do not give preventive advice as there is no evidence base
It is the less experienced, not the more experienced, who want self-care advice
Value prevention advice
Seek information elsewhere
Knowledge
Skills
Professional role and identity
Beliefs about capabilities
Beliefs about consequences
Reinforcement
Goals
Memory, attention, and decision making
Environmental context and resources
Social influence
Emotion
Behavioural regulation
5. Awareness of AMR Aware that AMR is a major issue
Have observed UTI treatment failure
AMR needs to be addressed
Aware of the AMR issue
Misunderstanding of what exactly it is
Concerned antibiotics will not be prescribed in the future
Knowledge
Skills
Beliefs about consequences
Goals
Memory, attention, and decision making
Social influence
Emotion
Behavioural regulation

AMR = antimicrobial resistance. TDF = Theoretical Domains Framework. UTI = urinary tract infection.