Meta-theme | GP view | Patient view | Associated TDF domains |
---|---|---|---|
1. Patient knowledge of UTIs | Women are very knowledgeable about their UTI | There is a large variation in patient knowledge:
| Knowledge Skills Professional role and identity Beliefs about capabilities Beliefs about consequences Memory, attention, and decision making Environmental context and resources Social influence |
2. View of the consultation | Majority are telephone consultations Listen to the patient symptoms Query red-flag symptoms Decide on appropriate treatment | Many find the consultation frustrating Do not feel like they are being listened to Feel that GP views them as a catch-up consultation | Knowledge Skills Professional role and identity Beliefs about capabilities Beliefs about consequences Memory, attention, and decision making Environmental context and resources Emotion |
3. Treatment expectations | Women generally expect antibiotics | Do not want a quick fix:
| Skills Professional role and identity Beliefs about consequences Intentions Goals Memory, attention, and decision making Environmental context and resources Social influence Emotion |
4. Self-care, safety netting, and prevention | Mainly give safety-netting advice Other advice usually only given to more experienced patients Do not give preventive advice as there is no evidence base | It is the less experienced, not the more experienced, who want self-care advice Value prevention advice Seek information elsewhere | Knowledge Skills Professional role and identity Beliefs about capabilities Beliefs about consequences Reinforcement Goals Memory, attention, and decision making Environmental context and resources Social influence Emotion Behavioural regulation |
5. Awareness of AMR | Aware that AMR is a major issue Have observed UTI treatment failure AMR needs to be addressed | Aware of the AMR issue Misunderstanding of what exactly it is Concerned antibiotics will not be prescribed in the future | Knowledge Skills Beliefs about consequences Goals Memory, attention, and decision making Social influence Emotion Behavioural regulation |
AMR = antimicrobial resistance. TDF = Theoretical Domains Framework. UTI = urinary tract infection.