Table 3 Partial matrices of change objectives for co-located exercise clinic (Co-LEC) implementers
Behavioral outcome: Oncologist tells patients about the Co-LEC and completes a referral for all eligible patients | ||||
|---|---|---|---|---|
Performance objectives | Determinants | |||
Knowledge | Group Norms | Environmental Facilitators | Outcome Expectancies | |
PO.1. Oncologist discusses service with new patients | Understand the service and how it can benefit patients | Believe that other oncologists are discussing the service with their patients; it is an expectation of practice | Materials are available to remind oncologist to discuss Co-LEC service and provide talking points for discussion. | Expectation that a discussion with patient will result in patient attendance at the Co-LEC, which will positively impact their treatment experience. |
PO.2. Oncologist tells patients about Medicare payment option | Be aware that Medicare is an option for payment | Believe that other oncologists are discussing Medicare payment options with their patients; it is an expectation of practice. | Materials are available to remind oncologist to discuss Medicare payment and provide talking points for discussion. | Expectation that a discussion with patient will result in utilization of Medicare payment plan. |
PO.3. Oncologist ticks boxes to refer eligible patients to service | Describe the role of exercise during cancer treatment. Identify potential safety concerns for each patient. | Believe that other oncologists are referring all eligible patients to the service; it is an expectation of practice | Tick box for service is embedded into a currently existing workflow and does not require an extra step. | Expectation that ticking the box will result in patient attendance at the Co-LEC, which will positively impact their treatment experience. |
PO.4. Oncologist checks in with patients during follow-up appointments to ask about exercise progress | Describe how the Co-LEC referral process works | Believe that other oncologists are checking in with patients about exercise progress; it is an expectation of practice | Information regarding patient progress at the Co-LEC is located in an area of the patient information that the oncologist regularly accesses. | Expectation that patient check-ins will provide meaningful feedback about their experience with the Co-LEC which can result in an improved treatment experience. |