From: Discussions about preventive services: a qualitative study
Precede/Proceed construct | Barrier |
---|---|
Predisposing factors (beliefs, attitudes, knowledge, demographics, background) | Fear of becoming ill from influenza vaccine No symptoms of colorectal cancer |
Reinforcing factors (rewards or punishments which follow the behavior or are anticipated as a consequence) | Anecdotes of negative experiences with influenza vaccine |
Enabling factors (environmental factors, such as health insurance, cost, and structural barriers, such as ease of access to care) | Patient unable to receive influenza vaccine during visit due to acute illness Dependence on others for transportation makes return visits more difficult to schedule Misunderstanding/misinformation about cost of influenza vaccine Complexity of colorectal screening process Many topics covered in visits |