Table 6 Provider drivers and barriers to interventions directed at improving SNAPW and health literacy
Barriers and Drivers (Number of Papers citing) | Driver | Barrier |
|---|---|---|
Provider Factors€ | ||
Time (16) | ✓ | |
Preventive medicine skills (12) | ✓ | |
Knowledge of guidelines / information (11) | ✓ | |
Attitudes and beliefs (10) | ✓ | |
Teamwork / working with other providers (6) | ✓ | |
Knowledge of referral services (3) | ✓ | |
Confidence (2) | ✓ | |
Communication skills (2) | ✓ | |
Outcome expectations (2) | ✓ | |
Provider Service Context | ||
Training (duration, MI, communication), CPD, funding time, organization) (7) | ✓ | |
Funding for health education (4) | ✓ | |
Community links / community oriented services (2) | ✓ | |
Availability of referral services/networks (2) | ✓ | ✓ |
Information systems (2) | ✓ | |
Availability of space (1) | ✓ | |
Supportive public health policy (1) | ✓ | |
Patient provider interface | ||
Access of health education / lifestyle modification | ||
· Cost (6) | ✓ | |
· Transport (1) | ✓ | |
· Availability (3) | ✓ | |
· Physical access (1) | ✓ | |
Trust of information (6) | ✓ | |
Continuity of care (7) | ✓ | |
Patient provider relationship (6) | ✓ | |
Proactive follow up (4) | ✓ | |
Aids (e.g. Pedometer ) (4) | ✓ | |
Reading age of materials (3) | ✓ | |
Patient education materials tailored (2) | ✓ | |
Cultural materials / translation (2) | ✓ | |
Individualised format (2) | ✓ | |
Health seeking behaviour (2) | ✓ | |
Group format (1) | ✓ | |
Goal setting (1) | ✓ | |
Decision support (1) | ✓ | |
Standardised assessment questions/protocols (1) | ✓ |