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Table 5 Individual components of TREAT format most difficult to sustain and adaptation strategies

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

Component Barriers to sustaining Enablers to sustaining Adaptations
Academic mentor present • Reduced awareness of how to access academic (C)
• Expense having academic every session (O)
• Finding researcher with appropriate expertise (O)
• Academic’s knowledge intimidating (M)
• Less confident without an academic (C)
• Having another researcher in department to help (O)
• Increased accountability to attend (M)
• Clinicians supporting EBP skills
Facilitator guiding discussion • Need expertise in statistics (C)
• Videoconference impacts discussion (O)
• Facilitation more difficult in absence of academic (C)
• Having clinician guiding discussion (O) • Presenter does facilitation rather than separate role
Goal setting • Topics less relevant after 6 months (M)
• Difficulty coming up with relevant or important topics, particularly new grads (C)
• Resistant to change and lack of ownership (M)
• Not having academic to assist (C)
• Choosing current topics rather than six months in advance (M)
• Using TREAT step by step resource (O)
• Support from line manager (M)
• Choose topics relevant to practice (M)
• Clinicians just choosing topics individually that are interesting to them
• Talk to clinicians in team with more confidence in JC for guidance
Educational handouts provided • Time burden (O)   
Minutes & formal follow up • Perceived lack of benefit (M) • Keep people accountable to following up items (M)
• Perception of useful record of discussion (M)
• Technology supports to do minutes online (O)
• Give brief updates on application of previous JCs at next JC
• Person presenting follows up action regardless of minutes
  1. Note: (M) Motivation component of COM-B, (O) Opportunity component of COM-B, (C) Capability component of COM-B