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Table 1 Semi-structured interview guide questions and corresponding TDF domains

From: Barriers to implementation of pediatric emergency department interventions for parental tobacco use and dependence: a qualitative study using the theoretical domains framework

TDF domain

TDF domain definitiona

Interview questions

Knowledge

An awareness of the existence of something

Do you know about the Clinical Practice Guideline for Treating Tobacco Use and Dependence (the “5 A’s”)?

Skills

An ability or proficiency acquired through practice

How do you currently identify parental or household smokers?

What do you do to help them take an active role in reducing their child’s exposure to tobacco smoke?

Social/professional role and identity

A coherent set of behaviors and displayed personal qualities of an individual in a social or work setting

What aspects of reducing patients’ secondhand smoke exposure do you see as part of your role?

Which types of healthcare professionals do you think should be involved in reducing patients’ secondhand smoke exposure?

Beliefs about capabilities

Acceptance of the truth, reality, or validity about an ability, talent, or facility that a person can put to constructive use

What special skills or expertise, if any, would you need to reduce patients’ secondhand smoke exposure?

What makes it easy to counsel parents or household smokers on reducing patients’ secondhand smoke exposure?

Optimism

The confidence that things will happen for the best or that desired goals will be attained

Currently, how effective are healthcare providers at screening and counseling secondhand smoke-exposed patients and their families?

Beliefs about consequences

Acceptance of the truth, reality, or validity about outcomes of a behavior in a given situation

What do you think might happen clinically to the patient if healthcare providers do not take steps to screen or counsel patients who are exposed to secondhand smoke?

Reinforcement

Increasing the probability of a response by arranging a dependent relationship, or contingency, between the response and a given stimulus

Is there anything that you think would encourage or discourage healthcare providers from screening or counseling parental or household smokers?

Intentions

A conscious decision to perform a behavior or a resolve to act in a certain way

What would help to make screening and counseling a priority to healthcare providers?

Goals

Mental representations of outcomes or end states that an individual wants to achieve

Is screening and counseling a routine part of your job or is it something you need to take time to think about? Do you screen when you “smell smoke” in the room or if a patient has a specific illness like asthma?

Memory, attention, and decision processes

The ability to retain information, focus selectively on aspects of the environment, and choose between two or more alternatives

What thought processes might guide your decision to screen for secondhand smoke exposure and provide counseling to patients and their families?

Environmental context and resources

Any circumstance of a person’s situation or environment that discourages or encourages the development of skills and abilities, independence, social competence, and adaptive behavior

What factors in your working environment do you think influence whether you are able to screen for secondhand smoke exposure and provide counseling to parents and household members?

Social influences

Those interpersonal processes that can cause individuals to change their thoughts, feelings, or behaviors

If you want to increase the frequency in which healthcare providers screen for secondhand smoke exposure and reduce patient exposure through counseling, how would you do this?

Emotion

A complex reaction pattern, involving experiential, behavioral, and physiological elements, by which the individual attempts to deal with a personally significant matter or event

No specific interview question.

Behavioral regulation

Anything aimed at managing or changing objectively observed or measured actions

Are certain incentives or other things needed for screening and counseling patients and their families?

  1. aDefinitions taken directly from Cane et al. [28]