Table 2.

Determinants to implementation of ePROMs in primary care using the TDF*

Domain	Barrier	Enabler
Knowledge		Awareness of the objectives of using ePROMs in clinic
Skills	New skills are required to successfully use PROMs in the management of patients with LBP	Having the skills needed to interpret the results of ePROMs
Social/Professional role and identity	Lack of clarification of clinicians’ professional role in relation to using ePROMs	Believing that using ePROMs is one of the clinicians’ role in clinic for individual patient management of LBP
Optimism		Expecting improved patient outcomes as a result of using ePROMs in the management of patients with LBP Optimism regarding the benefits of using ePROMs in the management of patients with LBP
Beliefs about consequences	Using ePROMs in clinical practice is not necessary to improve patient outcomes	Clinicians believe in the benefits of using ePROMs in the management of patients with LBP
Reinforcement		Having better patient health outcomes makes clinicians continue using ePROMs in the management of patients with LBP
Intentions		Clinicians’ commitment and intention to use ePROMs in the treatment of patients with LBP in the next three months
Goals	The plan of how to use ePROMs in clinical practice is not clear	The use of ePROMs in the treatment of patients with LBP is not more important and prioritized compared to only using clinical outcomes
Decision processes	The use ePROM scores is difficult in making treatment decisions
Environmental Context and Resources		Lack of time to use ePROM scores in the clinical setting

*TDF Theoretical Domains Framework, LBP Low Back Pain