Table 3

Recoding guide

TDF domainTDF domain definition (Cane et al, 2012)Definition in context
KnowledgeAn awareness of the existence of somethingClinicians’ actual awareness and understanding (through education/training) of the principles and process of offering genetic testing in clinical practice
SkillsAn ability or proficiency acquired though practiceClinicians’ actual physical and psychological ability or proficiency acquired through actual practice (as opposed to education/training—skills cannot be acquired though education) to make decisions whether or not to offer genetic testing in practice
Memory, attention and decision processesThe ability to retain information focus selectively on aspects of the environment and choose between two or more alternativesClinicians’ ability to remember to consider genetic testing alongside other interventions for health risk identification, diagnosis, management and therapy
Behavioural regulationAnything aimed at managing or changing objectively observed or measured actionsClinicians’ self-created or self-imposed regulation to help make decisions about offering genetic tests
Social influencesThose interpersonal processes that can cause individuals to change their thoughts, feelings or behavioursInterpersonal interactions between professionals that can influence clinicians’ thoughts, feelings or behaviours (ie, anything in motivation) regarding offering genetic testing
Environmental context and resourcesAny circumstance of a person’s situation or environment that discourages or encourages the development of skills and abilities independence, social competence and adaptive behaviourAny external circumstance of a clinicians’ situation or environment that clinicians consider discourages or encourages them to offer genetic testing in practice, including impacting the development of capability, motivation or social opportunity to offer genetic testing
Social/professional role and identityA coherent set of behaviours and displayed personal qualities of an individual in a social or work settingClinicians’ perceived professional role and identity in relation to offering genetic tests
Beliefs about capabilitiesAcceptance of the truth, reality or validity about an ability, talent or facility that a person can put to constructive useClinicians’ perception about their own capability to consider genetic testing (terms used in literature: confidence, comfort, control)
OptimismThe confidence that things will happen for the best or that desired goals will be attainedClinicians’ optimism or pessimism that genetic testing will be appropriately integrated into clinical practice and will improve healthcare generally
Beliefs about consequencesAcceptance of the truth, reality or validity about outcomes of a behaviour in a given situationClinicians’ perceptions about the value of offering genetic testing in clinical practice—whether it is worthwhile in that it will improve patient outcomes in their own practice (term used in literature: attitude)
IntentionsA conscious decision to perform a behaviour or a resolve to act in a certain wayClinicians’ intentions to consider genetic testing
GoalsMental representations of outcomes or end states that an individual wants to achieveWhether clinicians offering genetic testing is a priority within their practice
ReinforcementIncreasing the probability of a response by arranging a dependent relationship, or contingency, between the response and a given stimulusIncentives, rewards, sanctions, reinforcement at any level (eg, patient satisfaction, better client health, economic incentives) that encourage or increase clinicians’ decisions to offer genetic testing
EmotionA complex reaction pattern, involving experiential, behavioural and physiological elements, by which the individual attempts to deal with a personally significant matterClinicians’ feelings when they consider genetic testing
  • TDF, Theoretical Domains Framework.