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Table 4 Individual components of TREAT format most readily sustained and barriers and enablers to sustaining mapped to COM-B model [10]

From: Factors that influence the sustainability of structured allied health journal clubs: a qualitative study

Component Barriers to sustaining Enablers to sustaining
Articles circulated prior • Competing demands, often sent late (O) • Articles previously circulated before TREAT format introduced (O)
• Sense of responsibility to send early (M)
CASP tools • Knowledge which specific study design CASP tool to use (C) • Having confident clinician help choose tool (C)
• Perception that tool makes appraisal more accessible & guides session (C)
• CASP tool structure helpful (C)
Consistent time and place • Less regular scheduling/cancellations/emergent leave (O)
• Unprepared presenters (O)
• Difficulty finding time suits everyone(O)
• Less accountable without academic (O)
• Set time allocated (O)
• Clinician encouraging attendance just prior to meeting (M)
• Manager expectation (M)
• Having JC after another set meeting (O)
Discussing applying evidence • Difficulty applying to practice for multi-disciplinary team (C)
• Can’t always change practice from article (O)
• Lack of confidence in applying evidence (C)
• Greater understanding of other multidisciplinary team roles with JC (M)
• Members all contribute to discussion (M)
• Senior staff present to assist with application to practice (C)
Group appraisal • Reduced quality of appraisal without academic (C) • Less intimidating when appraisal done as a group (M)
• More participation in group discussions than previous format (M)
• Split into smaller groups (O)
Librarian support^ • Lack of awareness or how to access (C) • Quick turnaround to receive articles (O)
• Perception library can help find higher quality article (M)
• Helpfulness of librarians (M)
Food at meetings • Perception that motivation should be intrinsic (M)
• Cost of food (O)
• People bring own food/chocolate (O)
• Motivates people to attend (M)
  1. Note: (M) Motivation component of COM-B, (O) Opportunity component of COM-B, (C) Capability component of COM-B. CASP Critical Appraisal Skills Programme