Most SDL-in-CPD behavior-change factors fall in four TDF domains: environmental context and resources, social influences, beliefs about consequences, and behavioral regulation¶

Claim · All claims
Evidence · 1 study · review r2 · q3
Currency · newest study 2018 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q3 i? Of 318 coded barriers and facilitators, 65.7% were coded in four key TDF domains, led by environmental context and resources (86 times, 27.0%) and social influences (73 times, 23.0%). → Dahn J 2018

Evidence¶

Dahn J 2018¶

Dahn J, Presseau J, ElChamaa R, Naumann DN, Mascaro C, Luconi F, Smith KM, Kitto S. (2018). Barriers and Facilitators to Self-Directed Learning in Continuing Professional Development for Physicians in Canada: A Scoping Review. Academic Medicine. https://doi.org/10.1097/ACM.0000000000002237

q3 · i? · review · r2

TDF-guided directed coding across the 17 included articles coded barriers and facilitators into 12 TDF domains; the review reports the printed frequencies above and identifies the four key domains from these counts.

"In total, the barriers and facilitators were coded 318 times in the 17 articles: Barriers were coded 133 times (41.8%), and facilitators were coded 185 times (58.2%). They were most frequently coded in the environmental context and resources domain (86 times, 27.0%), followed by the social influences (73 times, 23.0%), beliefs about consequences (28 times, 8.8%), and behavioral regulation (22 times, 6.9%) domains."

Discussion¶

Related Claims¶

• Teamwork, collaborative work, interactivity, and networking are the most frequently reported physician facilitators of SDL, while medicine's on-the-job learning culture is the most cited social-influences barrier
• Fear of appearing incompetent acts as both a barrier and a facilitator to physicians' engagement in feedback-related SDL — a narrower finding that bears on this claim
• Physicians engage in SDL programs more when they perceive the content as useful and relevant to their clinical practice — a narrower finding that bears on this claim
• Barriers and facilitators to SDL in CPD occur at five levels: individual, program, technological, environmental, and workplace/organizational — related
• Time constraints are the most frequently cited physician barrier to SDL engagement, within the environmental context and resources domain — a narrower finding that bears on this claim