Table 3.

Structure of focus group guide, based on Mendel et al. (2008)

Domain	Definition	Example questions
Descriptive norms	Perception of what colleagues in the agency are doing with respect to identified provider behaviors.	What is the norm here with respect to MBC (routinely measuring client outcomes prior to session to inform care?) Do you notice other people in your organization using MBC? How so?
Injunctive norms	Perception of what individual thinks that colleagues believe they should be doing with respect to identified provider behaviors.	What do you suppose your colleagues think about the role of MBC in your clinic? Do you feel social pressure from others to use MBC? How so?
Attitudes	Beliefs and values that may affect the receptivity of individual and organizational stakeholders to adopt or adhere to a new practice.	How do you feel about new practices like MBC? What do you dis/like about it?
Structure and process of organizational operations	Set of contextual factors relating to the structure and way an organization operates, including differences in mission, size, decision-making process, and services offered.	What effect does operations [or mission, size, decision-making processes, or services delivered] have on implementing a new practice like MBC? Are there mandates, or is it more supportive and encouraging?
Policies and incentives	Incentives or disincentives embedded in regulatory policies, funding and reimbursement programs, and rules and policies of adopting organizations themselves that alter the costs and benefits supporting new behaviors.	How do you think that policies (e.g., regulations, funding and reimbursement programs, and rules) affect the implementation of a new practice like MBC? Can you give me examples of what incentives work?
Networks and linkages	Relationships among organizations and other stakeholders that enable social support and flows of information within a community or healthcare system.	How do staff discussions help or hurt using new practices like MBC? How do other stakeholder (managers, directors) discussions help or hurt using new practices like MBC?