Table 2. HP quotations for emergent domain themes and sub-themes
TDF domainSub-themeQuotation
Memory, attention, and decision processesPatient–HP interaction 'So, when somebody’s decided their condition requires them to go to a doctor and they’re in front of a doctor then I can certainly raise it. But I don’t usually push it at people until they come to me and say, ‘well, listen, you know’, and then that gives me the ideal opportunity.' [HP, 50 years, male]
Beliefs about consequencesPatient engagement ’it’s getting the time, from what I understand, it’s getting the patient at the right time, when they’re motivated, when they're ready to take some change.' [HP, 45 years, female]'You are trying with these people, but a lot of them, I think they’re looking for that medication, rather than to engage with others and do self-help.' [HP, 53 years, female]
Patient confidence and ability 'I think for physical activity, like say the [medical condition-specific physical activity programme], and the cardio gym I think sometimes people feel that exercise isn’t for them.' [HP, 53 years, female]'There’s the cost thing as well, most people don’t seem to have that much money to go join a gym or to a regular class or sign up to a running club. There’s all that.' [HP, 49 years, female]'There are people who struggle to access things that involve travel or effort or being organised.' [HP, 50 years, male]
Knowledge and environmental context and resourcesTime 'That’s the irony of it, you know, frontline healthcare professionals who are working to 10-minute consultations, you struggle with the accessibility and currency of information.' [HP, 50 years, male]
Access and currency of information (awareness of opportunities) 'I think there’s probably an opportunity with community health and social care hubs, that’s part of what they could potentially do is to signpost people and keep the intelligence on what’s available and what does it do.' [HP, 50 years, male]'I guess the other thing is to have champions in each practice. And that wouldn’t necessarily need to be a clinician. It could be people in admin. Or you could have, you know, more than one. So, people who, you know, could disseminate some information and stuff to the others. That would be quite good, wouldn’t it?' [HP, 56 years, female]
Social/professional role and identityPosition of influence and responsibility 'I think health professionals have a responsibility to do that. I don’t think we’re the only people that can do it, and I don’t think it should be our sole task or job, but I think there’s an opportunity there, if someone comes along with something that could be helped, or… By improving physical activity, or it could be, in fact, triggered by not being physically active, I think there’s a responsibility to bring that up.' [HP, 42 years, male]
Advocate in wider society 'I think of it as take it out of the medical practice. De-medicalise it, make it part of normal life, okay it was me that triggered it but unshackle the medicalisation of it.' [HP, 50 years, male]
Medico-legal responsibility 'How do I know I’m referring to something appropriate and not a danger to my patients?' [HP, 38 years, male]
  • H = health professional. TDF = theoretical domains framework.