| Level | Facilitator | Barrier |
|---|---|---|
| Patient | Taking responsibility for health (8, 47) | - |
| Knowledge (8, 83) | - | |
| Respect for advice of health care professional (6, 31) | - | |
| - | Fear (8, 116) | |
| - | Perceived low utility/risk (6, 38) | |
| - | Side effects (5, 31) | |
| Primary care provider | Active listening/unhurried pace (1, 2) | Rushing/not listening (7, 73) |
| Trusting relationship (1, 1) | Broken trust (5, 41) | |
| - | Not sharing information (6, 48) | |
| Health care system | Embedded processes (4, 23) | No reminders (4, 11) |
| Availability of services (5, 30) | - | |
| Low/no cost (3, 9) | - | |
| - | Limited time/1 issue per visit (7, 59) | |
| - | Conflicting or changing guidelines (6, 12) |
*The first number in parentheses is the number of focus groups in which the theme was identified, and the second number is the number of coding references.