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Table 2 Mapping of behavioral determinants to intervention options and content and implementation options

From: Development, acceptability, appropriateness and appeal of a cancer clinical trials implementation intervention for rural- and minority-serving urology practices

Step 4 Step 5 Step 6
Determinants of referral Intervention options Content and implementation options
COM-B TDF Intervention functions Policy categories Behavior-change techniques Mode of delivery Also addressed in …
Capability Knowledge Education, training, modeling Communication/marketing Commitment, social support (practical), instruction on how to perform the behavior, information about social and environmental consequences, demonstration of the behavior, information about others’ approval, credible source, material reward, framing/reframing Continuing education workshop: Expanding Treatment Options for Urological Cancer Patients, Professional society offering delivered by physician champion and endorsed by South Central Section of the AUA, Clinical trial flow sheet Toolkit website
Review outcome goals, Feedback on outcomes of behavior, social support (emotional), instruction on how to perform the behavior, information about social and environmental consequences, information about others’ approval, credible source, social reward, identification of self as role model Quarterly Newsletter featuring AUA president endorsement, trial briefs, Why I Do This segment, Meet the Cancer Center segment, and referral and accrual audit and feedback Continuing education workshop, newsletter, toolkit website
Problem-solving, goal-setting, discrepancy between current behavior and goal behavior, self-monitoring of behavior, social support-unspecified, instruction on how to perform the behavior Talking About Trials in-service curriculum  
Prompts/cues, adding objects to the environment; instruction on how to perform behavior -non-specified; non-specified reward Point-of-care interactive patient education table tent  
Memory, attention and decision processes Enablement Service provision, environmental/social planning Prompts/cues Available clinical trials’ point-of-care flow sheet  
Opportunity Environmental resources   Service provision Prompts/cues, restructuring social environment Clinical trial referral prescription pad  
Prompts/cues, restructuring social environment Cancer center “hotline” referral process  
Restructuring social environment, adding objects to the environment, instruction on how to perform behavior (patient) What this Trial Entails patient video series  
Restructuring social environment, adding objects to the environment, instruction on how to perform behavior (patient) Participating in a Cancer Clinical Trial patient brochure  
Social influences Persuasion, environmental restructuring Environmental/social planning, service provision Social support (practical), restructuring the social environment, instruction on how to perform the behavior Meet the investigator Breakfast/lunch Continuing education workshop, newsletter
Motivation Social professional role and identity Enablement Environmental/social planning, guidelines Restructuring social environment Referral role delineation Continuing education workshop, toolkit website
Feedback on outcome of behavior Cancer center eligibility screening feedback  
Feedback on outcome of behavior, information on how to perform the behavior, information about consequences GU Trial Chart Note  
Generalization of target behavior Align role delineation with perceived roles and identity  
Beliefs about consequences Incentivization, enablement Education Instruction on how to perform the behavior, information about social and environmental consequences, material incentive Co-management discussion  
Prompts/cues, social reward, non-specific incentive Branding through stationary, pens, brochures and media  
  1. Step 1 is provided in Fig. 2. Steps 2 and 3 are provided in Table 1
  2. All behavior-change techniques are directed at the urology provider, unless otherwise indicated in parentheses
  3. AUA American Urological Association, COM-B Capability, Opportunity, Motivation and Behavior Model GU genitourinary, TDF Theoretical Domains Framework