Zelalem Tefera, Feleke Mekonnen, Moges Tiruneh, Teshome Belachew
Carriage rate of Neisseria meningitidis, antibiotic susceptibility pattern and associated risk factors among primary school children in Gondar town, Northwest Ethiopia
BMC infectious diseases
pulmonary rehabilitation pr highly effective recommended intervention patients chronic obstructive pulmonary disease copd using behavioural theory within mixedmethods research understand referral remains low enables development targeted interventions order improve future pr referral multiphase sequential mixedmethods study united kingdom uk 252 multiprofessional primary healthcare practitioners phcps phase 1 semistructured interviews phase 2 54item paper online questionnaire based theoretical domains framework tdf content descriptive analysis utilised data mixed two points instrument design interpretation 19 phcps took part interviews 233 responded survey integrated results revealed phcps post qualifying respiratory qualification 154241 639 referred frequently 91154 591 without 2887 322 barriers enablers referral 13 tdf domains key barriers included infrequent engagement pr provider referrer concern around patients physical ability access pr particularly work assumed poor patient motivation clear practice referrer referral opportunities mapped domains belief capabilities social influences environment optimism skills social professional role enablers referral observed knowledge social influences memory environment domains many phcps believed physical psychological value pr helpful enablers outofpractice support respiratory interested colleagues dedicated referral time annual review onscreen referral prompts referral pr complex barriers outweighed enablers aligning findings behaviour change techniques identify interventions overcome barriers strengthen enablers thereby increasing referral patients copd pr