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Table 7 Summary of identified barriers of participating key contacts

From: Process outcomes of a multifaceted, interdisciplinary knowledge translation intervention in aged care: results from the vitamin D implementation (ViDAus) study

Summary of barriers in order of prevalence Number of facilities (%)
Resident & family beliefs or attitudes
(e.g. related to polypharmacy, cost or cultural barriers)
34 (83)
GP beliefs & attitudes
(e.g. related to clinical evidence, polypharmacy, blood tests or sunlight exposure)
26 (63)
Suitability of residents for vitamin D
(e.g. due to medical contraindication, vitamin D sufficiency, immobility, perceived need for vitamin D relating to cognition, sunlight exposure or changing care needs)
20 (49)
Competing priorities/ time/ capacity to implement
(e.g. due to staff shortages, other projects focused on polypharmacy or medication simplification, lack of funding to support prevention or competing priorities such as accreditation & renovation)
20 (49)
Resident and family knowledge or understanding 17 (42)
Awareness/ process/ prompt for staff 17 (42)
Resident behaviours
(e.g. medication refusal due to dementia, swallowing difficulties or mental health)
13 (32)
Contact with general practitioners
(e.g. due to having many GPs, or GPs that do not regularly visit)
12 (29)
Staff turnover 12 (29)
Resident turnover 10 (24)
Leadership/ culture/ motivation to change
(from both the local management and organisation levels)
8 (20)
GP knowledge
(e.g. related to current guidelines and available vitamin D formulations)
7 (17)
Pharmacist attitudes & beliefs 6 (15)
Staff knowledge 2 (5)
No obvious way to demonstrate the benefits of vitamin D 1 (2)