Table 3.
Final survey questions mapped (shown with an X) to concepts from the initial qualitative findings and the domains of capability, opportunity, motivation and behaviour of the behaviour change wheel theoretical framework (Michie et al., 2011).
| No. | Survey questions | Personal | Practice | Proximity | Preparedness | Preferences | C | O | M | B | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Future practice | Education | ||||||||||
| 1 | What is your gender?a | ✖ | |||||||||
| 2 | What is your age bracket?a | ✖ | |||||||||
| 3 | Where are you located?a | ✖ | |||||||||
| 4 | Do you see patients in your practice?a | ✖ | |||||||||
| 5 | What is your current level of specialty certification?a | ✖ | |||||||||
| 6 | In what year did you complete your medical degree (MBBS/MD)?a | ✖ | |||||||||
| 7 | What medical specialty are you qualified for, accredited in or studying towards?a | ✖ | |||||||||
| 8 | Which categories of patients do you see?a | ✖ | |||||||||
| 9 | Who is your main employer?a | ✖ | |||||||||
| 10 | In the last 12 months, what was your main work location?a | ✖ | |||||||||
| 11 | Do clinical guidelines exist for genomic testing in your specialty?b | ✖ | ✖ | ✖ | ✖ | ✖ | |||||
| 12 | Have you been involved in any genomic research projects in the last 5 years?a | ✖ | ✖ | ✖ | ✖ | ✖ | ✖ | ||||
| 13 | Have you contacted your clinical genetics team or service in the last 12 months?c | ✖ | ✖ | ✖ | ✖ | ✖ | ✖ | ||||
| 14 | Did you order chromosomal microarray (microarray) tests in the last 12 months as part of your clinical or research role?d | ✖ | ✖ | ✖ | ✖ | ✖ | ✖ | ✖ | |||
| 15 | Did you order gene panel tests in the last 12 months as part of your clinical or research role?d | ✖ | ✖ | ✖ | ✖ | ✖ | ✖ | ✖ | |||
| 16 | Did you order whole exome or whole genome sequencing tests in the last 12 months as part of your clinical or research role?d | ✖ | ✖ | ✖ | ✖ | ✖ | ✖ | ✖ | |||
| 17 | Below is a list of some of the steps involved in genomic sequencing testing from pre-test to post-test. Please indicate which steps you currently perform and which ones you expect to perform in the future if you had adequate education, training and support.a | ✖ | ✖ | ✖ | ✖ | ✖ | |||||
| 18 | What is/would be your preferred model for delivering a genomic sequencing test in your clinical practice, assuming you have appropriate education, training and funding?d [Options for Inpatient vs Outpatient] | ✖ | ✖ | ✖ | ✖ | ||||||
| 19 | Below is a list of ways genomic sequencing tests and other genomic tests can be initiated and discussed with patients. Please indicate which currently occur in your practice and/or you believe will occur more frequently in the next five years.a,e | ✖ | ✖ | ✖ | ✖ | ||||||
| 20 | Do you think genomics will impact your practice in the next 2 years?b | ✖ | |||||||||
| 21 | Do you feel prepared to use genomic sequencing testing in your practice?b | ✖ | ✖ | ✖ | |||||||
| 22 | How confident are you in your: knowledge about genomics; ability to elicit information in a family or medical history; ability to explain concepts; ability to make decisions based on genomic information? What would help improve your confidence?f | ✖ | ✖ | ✖ | ✖ | ✖ | |||||
| 23 | Would improving your knowledge of genomic medicine alter your practice?e | ✖ | ✖ | ✖ | ✖ | ||||||
| 24 | Have you ATTENDED any professional development education or training around genomics in the past year, such as lectures, seminars or workshops, either in person or online?a | ✖ | ✖ | ✖ | ✖ | ||||||
| 25 | Have you PROVIDED any professional development education or training around genomics in the past year, such as lectures, seminars or workshops, either in person or online?a,c | ✖ | ✖ | ✖ | ✖ | ||||||
| 26 | Who should be responsible for updating medical specialists about genomics?e | ✖ | |||||||||
| 27 | Below is a list of activities that can be used to keep up to date with, or learn new skills in, genomic medicine. Please indicate which activities you currently use and/or would prefer to use to keep up to date with, or learn new skills in, genomic medicine.d | ✖ | ✖ | ✖ | ✖ | ||||||
| 28 | Below is a list of education topics in genomic medicine. Please indicate which topics you have learnt about and which you want to in the future.g | ✖ | ✖ | ✖ | ✖ | ||||||
Existing surveys were reviewed and relevant questions were selected (and modified in the Delphi rounds) for inclusion in the developed survey. Original sources were: a(Nisselle et al., 2019a); bCrafted by Australian Genomics Program 4 Working Group; cGECKO survey (Carroll et al., 2019); d(Stark et al., 2019b); e(Chow-White et al., 2017); f(Gray et al., 2014); g(Chen and Kim, 2014); C, capability; O, opportunity; M, motivation; B, behaviour (Michie et al., 2011).