• Mckay, Skye
• Steinberg, Julia
• Venchiarutti, Rebecca
• Debono, Deborah
• Pearn, Amy
• Hayward, Anne
• Taylor, Natalie
• Hilton, Desiree
• Egoroff, Natasha
• Sankey, Lucien
• Hogden, Emily
• Chan, Priscilla
• Tiernan, Gabriella
• Morrow, April

Abstract

<jats:title>Abstract</jats:title><jats:p>Genetic referral for Lynch syndrome (LS) exemplifies complex clinical pathways. Identifying target behaviours (TBs) for change and associated barriers requires structured group consultation activities with busy clinicians – consolidating implementation activities whilst retaining rigour is crucial. This study aimed to: i) use process mapping to gain in-depth understandings of site-specific LS testing and referral practices in Australian hospitals and support identification of TBs for change, ii) explore if barriers to identified TBs could be identified through process mapping focus-group data, and iii) demonstrate pandemic-induced transition from in-person to virtual group interactive process mapping methods.</jats:p><jats:p>LS clinical stakeholders attended interactive in-person or virtual focus groups to develop site-specific “process maps” visually representing referral pathways. Content analysis of transcriptions informed site-specific process maps, then clinical audit data was compared to highlight TBs for change. TBs were reviewed in follow-up focus groups. Secondary thematic analysis explored barriers to identified TBs, coded against the Theoretical Domains Framework (TDF). The transition from in-person to pandemic-induced virtual group interactive process mapping methods was documented.</jats:p><jats:p>Process mapping highlighted six key areas of clinical practice variation across sites and site-specific TBs for change were identified. Key barriers to identified TBs emerged, categorised to seven TDF domains.</jats:p><jats:p>Process mapping revealed variations in clinical practices surrounding LS referral between sites. Incorporating qualitative perspectives enhances process mapping by facilitating identification of TBs for change and barriers, providing a pathway to developing targeted interventions. Virtual process mapping activities produced detailed data and enabled comprehensive map development.</jats:p>

Topics

• impedance spectroscopy
• laser sintering