Search

Additional file 1.

Supplemental material, Appendix_I_Interview_and_Focus_Group_Guide for Influencers on deprescribing practice of primary healthcare providers in Nova Scotia: An examination using behavior change frameworks by Natalie Kennie-Kaulbach, Rachel Cormier, Olga Kits, Emily Reeve, Anne Marie Whelan, Ruth Martin-Misener, Fred Burge, Sarah Burgess and Jennifer E. Isenor in Medicine Access @ Point of Care

Additional file 1. Intro Focus Group – For Moderators: Interview Guide for Front line Staff and Managers and Directors. This file contains the moderator’s guide for the first focus group for front line staff, and managers and directors.

Supplemental material, Appendix_II_COREQ_Checklist for Influencers on deprescribing practice of primary healthcare providers in Nova Scotia: An examination using behavior change frameworks by Natalie Kennie-Kaulbach, Rachel Cormier, Olga Kits, Emily Reeve, Anne Marie Whelan, Ruth Martin-Misener, Fred Burge, Sarah Burgess and Jennifer E. Isenor in Medicine Access @ Point of Care

Additional file 3. Summaries of Ten Case Studies of Primary Care and Public Health Collaboration. This file contains details of each case such as the context, partners involved, health issues addressed, precipitators of the collaboration, problem being addressed by the collaboration goals, key factors influencing success of the collaboration, community involvement in the collaboration, and key impacts and outcomes.

Additional file 2. Moderator’s Focus Group Guide for the PSAT Follow Up for Front Line Staff, Managers and Directors. This file contains the moderator’s guide for the follow up focus group for front line staff, and managers and directors. This guide is focused on the concepts covered in the PSAT tool [31].

Additional file 1:Supplementary File 1.

Appendix B. - Algorithms to Identify Patients with the Test Conditions. A table outlining the component of the algorithms used to identify patients with the test conditions used in this study. (DOCX 13 kb)

Appendix A. - Literature Review - Assessing Electronic Medical Record Data Quality. A brief literature review of approaches to primary health care EMR data quality assessment. (DOCX 37 kb)

Additional file 2: Supplementary File 2. Definitions for chronic conditions and complications to derive segments 2, 3 and 4.

Appendix B. - Algorithms to Identify Patients with the Test Conditions. A table outlining the component of the algorithms used to identify patients with the test conditions used in this study. (DOCX 13 kb)

Additional file 2: Supplementary File 2. Definitions for chronic conditions and complications to derive segments 2, 3 and 4.

Additional file 1:Supplementary File 1.

Appendix A. - Literature Review - Assessing Electronic Medical Record Data Quality. A brief literature review of approaches to primary health care EMR data quality assessment. (DOCX 37 kb)

Additional file 3: Supplementary File 3. Regression analysis model with chronic conditions as a categorical variable.

Additional file 3: Supplementary File 3. Regression analysis model with chronic conditions as a categorical variable.

Background: Deprescribing is a complex process requiring consideration of behavior change theory to improve implementation and uptake. Aim: The aim of this study was to describe the knowledge, attitudes, beliefs, and behaviors that influence deprescribing for primary healthcare providers (family physicians, nurse practitioners (NPs), and pharmacists) within Nova Scotia using the Theoretical Domains Framework version 2 (TDF(v2)) and the Behavior Change Wheel. Methods: Interviews and focus groups were completed with primary care providers (physicians, NPs, and pharmacists) in Nova Scotia, Canada. Coding was completed using the TDF(v2) to identify the key influencers. Subdomain themes were also identified for the main TDF(v2) domains and results were then linked to the Behavior Change Wheel—Capability, Opportunity, and Motivation components. Results: Participants identified key influencers for deprescribing including areas related to Opportunity, within TDF(v2) domain Social Influences, such as patients and other healthcare providers, as well as Physical barriers (TDF(v2) domain Environmental Context and Resources), such as lack of time and reimbursement. Conclusion: Our results suggest that a systematic approach to deprescribing in primary care should be supported by opportunities for patient and healthcare provider collaborations, as well as practice and system level enhancements to support sustainability of deprescribing practices.