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Table 3 Partial matrices of change objectives for co-located exercise clinic (Co-LEC) implementers

From: We have the program, what now? Development of an implementation plan to bridge the research-practice gap prevalent in exercise oncology

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.
  1. PO Performance objective; Co-LEC Co-located exercise clinic