“…Enablers for patients included having sufficient time to read the QPL before appointments, 26,43,58 translation to the patient's primary language and cultural acceptability of questions 43,58 ; not too many questions or too lengthy ones, 26,31,32,48 clinical contexts involving sensitive topics 34,38,52,58 and when physicians encouraged them to ask questions on the QPL. 26,41,43 Patient-reported barriers included the time required to read the QPL, 31,58,66 being accompanied to a consultation, 28,47 if questions were addressed in some manner before QPL use, 58,69,76 not having time to discuss QPL questions or additional questions during the consultation, 66,76 feeling overwhelmed, 33,58 feeling like clinicians disliked patient questionasking, 76 clinicians not being able to answer questions or discuss topics included in the QPL 24,32,33,56,72 and QPLs not being available in a language other than English. 58 Enablers for clinicians included receiving the QPL before consultations, 44,57 reliable supply of QPLs, 25,57 training on how to use the QPL, 24,32 the QPL is not too lengthy,…”