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dc.contributor.authorSpillane, Daniel
dc.contributor.authorCourtenay, Molly
dc.contributor.authorChater, Angel M.
dc.contributor.authorFamily, Hannah
dc.contributor.authorWhitaker, Angela
dc.contributor.authorActon, Jennifer H.
dc.date.accessioned2021-02-22T09:18:52Z
dc.date.available2021-02-20T00:00:00Z
dc.date.available2021-02-22T09:18:52Z
dc.date.issued2021-02-20
dc.identifier.citationSpillane D, Courtenay M, Chater A, Family H, Whitaker A, Acton JH (2021) 'Factors influencing the prescribing behaviour of independent prescriber optometrists: a qualitative study using the Theoretical Domains Framework', Ophthalmic and Physiological Optics, (), pp.-.en_US
dc.identifier.issn0275-5408
dc.identifier.doi10.1111/opo.12782
dc.identifier.urihttp://hdl.handle.net/10547/624830
dc.description.abstractPurpose: Whilst the number of independent prescriber optometrists in the United Kingdom is increasing, there is limited evidence describing the experiences of these individuals. The Theoretical Domains Framework (TDF) provides an evidence-based approach to understand determinants of behaviour. This conceptual framework can enable mapping to the COM-B behaviour change model and the wider Behaviour Change Wheel to develop interventions to optimise behaviourchange and healthcare processes more systematically. The study aimed to use the TDF to identify the factors that influence independent prescribing behaviour, and to map these findings to the COM-B system to elucidate the relevant intervention functions, in order to identify the support required by optometrist prescribers. Methods: Using a qualitative design, semi-structured interviews based on the TDF were undertaken with independent prescriber optometrists. Thematic analysis was used to identify themes inductively, which were then deductively mapped to the TDF and then linked to the COM-B. Results: Sixteen participants (9 male; median age 45 years, range 28–65 years), based in community (n = 10) and hospital (n = 6) settings, were interviewed. Eleven of the TDF domains were found to influence prescribing behaviour. Findings highlighted the need for good communication with patients (TDF domain: Skills, COM-B: Capability); confidence (TDF domain: Beliefs about capabilities, COM-B: Motivation); good networks and relationships with other healthcare professionals, e.g., general practitioners (TDF domain: Social influences, COM-B: Opportunity; TDF domain: Social/professional role and identity, COM-B: Motivation); the need for appropriate structure for remuneration (TDF domain: Reinforcement, COM-B: Motivation; TDF domain: Social/professional role and identity, COM-B: Motivation); and the provision of professional guidelines (TDF domain: Knowledge, COM-B: Capability; TDF domain: Environmental context and resources, COM-B Opportunity). Conclusions: Having identified theory-derived influencers on prescribing decisions by optometrists, the findings can be used to develop a structured intervention, such as a support package to help optimise prescribing by optometrists, with the ultimate goal of eye care quality improvement.en_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.urlhttps://onlinelibrary.wiley.com/doi/full/10.1111/opo.12782en_US
dc.rightsYellow - can archive pre-print (ie pre-refereeing)
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectcommunity health servicesen_US
dc.subjectoptometristsen_US
dc.subjecttheoretical domains frameworken_US
dc.subjectprescribing behaviouren_US
dc.subjectSubject Categories::B510 Optometryen_US
dc.titleFactors influencing the prescribing behaviour of independent prescriber optometrists: a qualitative study using the Theoretical Domains Frameworken_US
dc.typeArticleen_US
dc.identifier.journalOphthalmic and Physiological Opticsen_US
dc.date.updated2021-02-22T09:15:16Z
dc.description.noteopen access


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