Table 2 Explanatory themes by theoretical domain

Knowledge

Discussions of CVD risk including scientific rationale for risk factors and prevention, procedural knowledge of CVD risk identification and management (including self-management), and discussion of associated knowledge sources

HIV as a risk factor for CVD

1, 2

1, 2

1, 2

X

Multiple sources of CVD-related information

2

2

X

Translating knowledge of discrete diagnoses and behaviors into composite CVD risk

2^§

1, 2

1

X

CVD-related medications and their mechanisms of action

1

1, 2

1, 2

X

Environmental Context and Resources

Discussion of environmental stressors, organizational culture or climate, salient critical events. or other incidents influencing goals or processes related to CVD

Co-located services

1

1

1

X—access to resources

X—bottlenecks in clinic flow

Social determinants of health

1, 2

1

1, 2

X—health insurance³

X—transportation⁴

Frequency of care to manage non-HIV conditions

1

1

1

X

Beliefs about Capabilities

Reflections on self-confidence, perceived competence, self-efficacy, self-esteem, perceived behavioral control, empowerment, and/or professional confidence in identifying and managing CVD

CVD complexity

1

1

1

X

Locus of control in preventing and managing CVD

2

2

X

Memory, Attention, and Decision Processes

Description of what CVD-related factors individuals choose what to pay attention to and what they ignore, including discussions of competing demands, cognitive overload, burnout. or decisional aids to support CVD-related behaviors

Tools to aid CVD prevention

1, 2

1, 2

2

X—tools for CVD risk estimation⁴, medication reminders3

X—tools to motivate lifestyle modifications³

HIV is our priority

1, 2^§

1, 2

1, 2

X

Behavioral Regulation

Reflections on the use of objective measurements to make changes in CVD-related risks or behaviors

Self-monitoring practices

2

2

2

X—the value of self-monitoring

X—symptom guided self-management

Beliefs about Consequences

Discussion of outcomes, anticipated regrets. or other consequences associated with CVD (risk or disease) or CVD- related behaviors

Medication burden; subtheme: past experiences with CVD medication side effects

1, 2

1, 2

1, 2

Social and Professional Roles

Discussions of who holds responsibility for CVD-related tasks/behaviors

Safety net primary care

1, 2

1, 2

1, 2

X-HIV providers as trusted sources of medical advice

X-Decisions to manage CVD for PWH

X-HIV provider messaging on CVD risk