Table 1 Step 4 in Behaviour Change Wheel- Identifying what needs to change using the TDF and the BCW

Physical skills

no

no

out

Knowledge

Know the correct DP technique

yes

yes

in

Physical, cognitive and interpersonal skills

Physical skills to write a delayed prescription………………………………

no

no

out

Cognitive skills to conduct delayed prescribing………………….

no

no

out

Interpersonal skills to reassure patients DP can work ………………

yes

yes

in

Memory, attention and decision processes

Use delayed prescribing and be able to identify the right patients to use it with

yes

yes

in

Behavioural regulation

A method of identifying a delayed script

no

no

out

Professional/social role and identity

GPs need to believe that using delayed prescribing is part of their role

no

no

out

Beliefs about capabilities

GPs need to believe that they can write a delayed prescription

no

no

out

Optimism

Need to believe that delayed prescribing will reduce antibiotic use

yes

yes

in

Beliefs about consequences

GPs need to believe that patients will delay…………………….

yes

Yes

in

There won’t be adverse consequences if they use delayed prescribing…………………. (i.e. patient won’t die or patients won’t come back)

yes

yes

in

Intentions

GPs have to make a conscious decision to do delayed prescribing

yes

yes

in

Goals

GPs have to want to use delayed prescribing

yes

yes

in

Reinforcement

GPs needs reassurance governing bodies and guidelines are supportive of delayed prescribing

yes

no

out

Emotion

GPs need to feel safe to use delayed prescribing

yes

yes

in

Environmental context and resources

Time with patient

yes

no

Resources

yes

no

out

Social Influences

GPs need to trust their patients to be able to follow their advice on delayed prescribing

yes

yes

in