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Table 3 Characteristics of included reviews

From: Barriers and facilitators to clinical behaviour change by primary care practitioners: a theory-informed systematic review of reviews using the Theoretical Domains Framework and Behaviour Change Wheel

First author (year)

Type of review

Phenomena of interest

Participants

Settings

Included studies

Synthesis methods

Quality score (0–11)

Clinical management

 aSinnott (2013) [52]

SR

GPs’ perceptions on the clinical management of multimorbidity.

275 GPs

UK (3), Netherlands (2), USA (2), Belgium (1), Germany (1), Ireland (1)

10 studies:

Qualitative

Meta-ethnography

10.5high

 aO’Brien (2016) [61]

SR

PCPs’ perceptions of the barriers that prevent effective management of child and adolescent mental health problems.

9624 PCPs (FPs, GPs, paeds)

USA (22), UK (9), Australia (4), Canada (4), Ireland (2), South Africa (2), Malta (1), Puerto Rico (1)

43 studies:

Qualitative and quantitative

Thematic synthesis

9.5high

 Barley (2011) [56]

SR

Barriers to and facilitators for good depression management.

GPs (2738)

PNs (476)

UK (17)

17 studies:

Qualitative and quantitative

Meta-ethnography

9high

 Lucas (2015) [50]

SR

Views, beliefs and attitudes that influence prescribing for acute childhood infection.

207 PCPs (FPs, GPs, paeds)

UK (7), Iceland (3), France (2), USA (2), Belgium (1), Norway (1), New Zealand (1), Poland (1), Spain (1)

15 studies:

Qualitative

Meta-ethnography

9high

 Lawrence (2016) [58]

SR

PCPs’ perspectives of their role within cancer care.

10941 PCPs (FPs, GPs, obs-gynae, paeds)

USA (10), Canada (9), Netherlands (4), Australia (3), Norway (3), France (2), UK (2), Germany (1), Italy (1), Ireland (1), Israel (1)

35 studies:

Qualitative and quantitative

Thematic synthesis

8.5high

 Sirdifield (2013) [53]

SR

Clinicians’ experiences and perceptions of benzodiazepine prescribing.

187 PCPs (FPs, GPs, obs-gynae, paeds)

UK (2), Australia (1), Belgium (1), Canada (1), Norway (1), Slovenia (1), USA (1)

8 studies:

Qualitative

Thematic synthesis

8.5high

 Tonkin-Crine (2011) [65]

SR

GPs’ attitudes and experiences of antibiotic prescribing for acute respiratory tract infections.

321 PCPs (GPs, nurse prescribers)

UK (5), Iceland (2), Norway (2), Belgium (1), France (1), New Zealand (1), Netherlands (1), Poland (1), Spain (1), USA (1)

12 studies:

Qualitative

Meta-ethnography

5.5mod

Diagnosis

 Schumann (2012) [51]

SR

Family physicians’ perceived barriers to diagnosing depression.

239 PCPs (FPs, GIs, NPs)

UK (5), USA (3), Australia (1), Canada (1), Germany (1), Netherlands (1), Sweden (1)

15 articles reporting 13 studies:

Qualitative

Thematic synthesis

10.5high

 aMcDonagh (2018) [59]

SR

Barriers and facilitators to chlamydia testing for young people and PCPs.

> 1733 PCPs

UK (15), Australia (9), Estonia (1), France (1), New Zealand (1), Sweden (1)

25 studies:

Qualitative and quantitative

Framework synthesis (COM-B Model)

7.5mod

 aYeung (2015) [63]

NR

Barriers and facilitators to chlamydia testing.

> 11993 GPs

Not reported

37 studies:

Qualitative and quantitative

Framework synthesis (patient, GP and general practice-level)

3.5low

 Ogeil (2020) [33]

NR

Barriers to the assessment and diagnosis of insomnia.

> 127 GPs

USA (4), Australia (2), Germany (2), UK (2)

10 studies:

Qualitative and quantitative

Framework synthesis (TDF Framework)

3low

Communication and engagement with patients

 aDe Vleminck (2013) [57]

SR

Perceived factors hindering or facilitating GPs in engaging in advance care planning (ACP).

> 2149 PCPs (FPs, GPs, obs-gynae, paeds)

UK (4), USA (3), Australia (2), Netherlands (2), Belgium (1), Canada (1), Israel (1), Singapore (1)

15 studies:

Qualitative and quantitative

Framework synthesis (initial emergent themes)

9.5high

 Vogt (2005) [55]

SR

Family physicians’ beliefs and attitudes towards discussing smoking cessation with patients.

GPs (5475)

FPs (1143)

Response rate 37-95%.

UK (5), USA (5), Italy (2), Australia (1), Bosnia and Herzegovina (1), Canada (1), Finland (1), France (1), New Zealand (1), Norway (1), Sweden (1)

20 studies:

Quantitative

Thematic synthesis and pooled proportions

5.5mod

Implementation of EBM in general

 Zwolsman (2012) [64]

SR

Barriers encountered by GPs in the practice of EBM.

2390 GPs

UK (7), Australia (5), Bahrain (1), Belgium (1), Canada (1), Germany (1), Jordan (1), Norway (1), Singapore (1), Spain (1), Turkey (1), USA (1)

22 studies:

Qualitative and quantitative

Framework synthesis (conceptual model

9high

 Carlsen (2007) [48]

SR

GPs’ attitudes to and experiences with clinical practice guidelines.

GPs (172)

FPs (147)

UK (6), Canada (3), Netherlands (2), USA (1)

12 studies:

Qualitative

Thematic synthesis

5.5mod

Prevention

 Vedel (2011) [54]

SR

Barriers and facilitators to breast and colorectal cancer screening of older adults.

11022 PCPs (FPs, GPs, obs-gynae, paeds)

Response rate 21–93%.

USA (12), Canada (3), Australia (2), France (2), Italy (1), Switzerland (1)

21 studies:

Quantitative

Framework synthesis (own taxonomy)

8high

 Ju (2018) [49]

SR

GPs’ perspectives on the prevention of cardiovascular disease.

> 1223 GPs

Not reported

34 studies:

Qualitative

Thematic synthesis

7.5mod

Service provision

 aMikat-Stevens (2015) [60]

SR

Primary care providers’ perceived barriers against provision of genetics services.

> 8494 PCPs (FPs, GPs, obs-gynae, paeds, advanced practice nurses, PAs)

USA (17), UK (6), Australia (4), Canada (4), Netherlands (3), Germany (1), New Zealand (1), Switzerland (1)

38 studies:

Qualitative and quantitative

Thematic synthesis

7.5mod

Collaborative practice

 Schadewaldt (2013) [62]

SR

Views and experiences of nurse practitioners and medical practitioners with collaborative practice.

PCPs (1641 medical practitioners, 380 NPs)

USA (11), Canada (6), UK (6), Ireland (1), Netherlands (1), New Zealand (1), Sweden (1)

30 articles reporting 27 studies:

Qualitative and quantitative

Thematic synthesis

5.5mod

  1. CVD cardiovascular disease, FP family physician, GI general internist, GP general practitioner, NP nurse practitioner, NR narrative review, obs-gynae obstetrics and gynaecology physician, PA physician assistant, paeds paediatric physician, PN practice nurse, RCT randomised controlled trial, SR systematic review
  2. LowLow quality
  3. modModerate quality
  4. highHigh quality
  5. aClarification obtained from authors on participants and synthesis methods