Table 1.

Potential Barriers to Clinical Guideline Adherence within in Each of 3 Domains, as Collected by the Questionnaire

Sequence of Behavior Change	Barrier to Guideline Adherence	Questionnaire Item
Knowledge	Lack of awareness	2 Knowledge questions for each clinical service
Knowledge	Lack of familiarity	I am very familiar with the clinical guidelines about this service.
Attitudes	Applicability to patient	Guidelines about this service rarely apply to the patients I see.
	Not cost-beneficial	There is strong evidence about the limited benefits of providing this service.
	Lack of self-efficacy	I am confident in my ability to discuss the utility of this clinical service with patients.
	Lack of motivation/inertia	I find it hard to break old habits and decrease use of this clinical service for patients.
Practices	Reconciling patient preferences	Patient preferences strongly influence my decision making about providing this service.
	Lack of time	I have adequate time in most clinical encounters to address the appropriateness of providing this clinical service to my patients.
	Lack of resources	I don't have adequate resources in my practice to help me address this issue.