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Table 4 List of substantive gaps, challenges and barriers identified (items in bold are the focus of this article), with their corresponding TDF domain(s)

From: Contextualized analysis of a needs assessment using the Theoretical Domains Framework: a case example in endocrinology

# Challenge AGHD Acromegaly PGD TDF Domains*
1 Challenges communicating with patients, especially in overcoming patients’ barriers and resistances X X X 1, 2, 4, 5, 6
2 Challenges with the treatment decision-tree X X 1, 2, 4, 9, 10
3 Challenges associated with the transition from childhood to teen years, to adulthood X 1, 2, 3, 4, 6, 11
4 Insurance companies processes interfere with clinical decisions X X X 11
5 Use of appropriate materials to support patient education X X X 1, 11
6 Referrals between general pediatricians and pediatric endocrinologists (timeliness, appropriate pre-testing) X 1, 4, 6
7 Perceptions of GH therapy X 6
8 Lack of clarity in roles and responsibilities X X X 3
9 Application of diagnostic tests X X 2, 4
10 Lack of screening by primary care X 6
11 Identifying tests needed for at risk co-morbidities X 2, 6
12 Presenting Treatment as optional X 6
13 Inconsistencies between labs (system) X X X 11
  1. * "1 – Knowledge"; "2 – Skills"; "3 - Social/Professional Role and Identity"; "4 - Beliefs about Capabilities"; "5 – Optimism"; "6 - Beliefs about Consequences"; "7 – Reinforcement"; "8 – Intentions"; "9 – Goals"; "10 - Memory, Attention, and Decision Processes"; "11 - Environmental Context and Resources"; "12 - Social Influences"; "13 – Emotion"; and "14 - Behavioral Regulation".