Requirements for an acceptable guideline were stakeholder involvement in the development process, clarity of presentation, and high applicability. Diagnostics posed the biggest challenge in vertigo management to the PCPs. Twelve PCPs from Bavaria in Southern Germany participated in semi-structured interviews. The pathways through which guideline characteristics and supportive interventions affect the relationship between the PCPs’ perceived capability, opportunity, and motivation as well as their practice of managing vertigo patients were graphically presented using the COM-B model structure. Transcripts of the semi-structured interviews were analysed using directed content analysis. MethodsĪ theory-based interview structure was developed based on the implementation theory of capability, opportunity, and motivation for behaviour change (COM-B) using questions based on constructs from the Theoretical Domains Framework (TDF) and the Consolidated Framework for Implementation Research (CFIR). Specifically, we wanted to identify facilitators and barriers of successful guideline implementation in order to inform the development of targeted interventions. The objective of this study was to understand which challenges and barriers PCPs see when diagnosing and treating patients presenting with vertigo or dizziness. Although the management of patients presenting with vertigo and dizziness in primary care has been reported to be inefficient, little is known about the primary care providers’ (PCPs) perspectives, needs, and attitudes regarding vertigo management.