Table 1

Domains from the theoretical domains framework with examples of corresponding survey items

Domain (definition*)Example belief statements from the survey
(An awareness of the existence of something)
‘The guidelines and recommendations around DRS for people with diabetes in the UK are clear’
(An ability or proficiency acquired through practice)
‘There is sufficient training available about DRS for professionals working within the DESP’
Beliefs about capabilities
(Acceptance of the truth, reality or validity about an ability, talent or facility that a person can put to constructive use)
‘It is easy to discuss DRS with young adults’
Beliefs about consequences
(Acceptance of the truth, reality, or validity about outcomes of a behavior in a given situation)
‘Improving attendance in young adults will help reduce vision loss’
(The confidence that things will happen for the best or that desired goals will be attained)
‘There is more we can do to try and increase attendance in young adults’
(A conscious decision to perform a behavior or a resolve to act in a certain way)
‘My screening service has plans in place to try and encourage attendance among young adults’
(Mental representations of outcomes or end states that an individual wants to achieve)
‘There are more pressing priorities for the DESP than increasing attendance in young adults’
(Increasing the probability of a response by arranging a dependent relationship, or contingency, between the response and a given stimulus)
‘I am encouraged to try to increase attendance in young adults’
Memory, attention, decision-making
(The ability to retain information, focus selectively on aspects of the environment and choose between two or more alternatives)
‘The DESP has strategies in place to try and remind young adults to attend’
(A complex reaction pattern, involving experiential, behavioral, and physiological elements, by which the individual attempts to deal with a personally significant matter or event)
‘I worry about screening attendance in young adults’
Social professional role/identity
(A coherent set of behaviors and displayed personal qualities of an individual in a social or work setting)
‘DESP staff should play more of a role in discussing screening results with patients’
Environmental context and resources
(Any circumstance of a person’s situation or environment that discourages or encourages the development of skills and abilities, independence, social competence and adaptive behavior)
‘The DESP is well integrated with specialist diabetes services in hospitals’
Social influences
(Those interpersonal processes that can cause individuals to change their thoughts, feelings, or behaviors)
‘Communication across healthcare providers involved in diabetes care is poor’
Behavioral regulation
(Anything aimed at managing or changing objectively observed or measured actions)
‘I receive feedback on my practice around DRS’
  • *TDF domain definitions from Atkins et al.15

  • DESP, Diabetic Eye Screening Programme; DRS, diabetic retinopathy screening; TDF, Theoretical Domains Framework.