nach oben

Erschienen in:

01.08.2014

Theory-based predictors of multiple clinician behaviors in the management of diabetes

verfasst von: Justin Presseau, Marie Johnston, Jill J. Francis, Susan Hrisos, Elaine Stamp, Nick Steen, Gillian Hawthorne, Jeremy M. Grimshaw, Marko Elovainio, Margaret Hunter, Martin P. Eccles

Erschienen in: Journal of Behavioral Medicine | Ausgabe 4/2014

Einloggen, um Zugang zu erhalten

Abstract

Behavioral theory is often tested on one behavior in isolation from other behaviors and theories. We aimed to test the predictive validity of constructs from motivation and action theories of behavior across six diabetes-related clinician behaviors, within the same sample of primary care clinicians. Physicians and nurses (n = 427 from 99 practices in the United Kingdom) completed questionnaires at baseline and 12 months. Primary outcomes: six self-reported clinician behaviors related to advising, prescribing and examining measured at 12 months; secondary outcomes: baseline intention and patient-scenario-based simulated behavior. Across six behaviors, each theory accounted for a medium amount of variance for 12-month behavior (median R _adj ² = 0.15), large and medium amount of variance for two intention measures (median R _adj ² = 0.66; 0.34), and small amount of variance for simulated behavior (median R _adj ² = 0.05). Intention/proximal goals, self-efficacy, and habit predicted all behaviors. Constructs from social cognitive theory (self-efficacy), learning theory (habit) and action and coping planning consistently predicted multiple clinician behaviors and should be targeted by quality improvement interventions.

Nur mit Berechtigung zugänglich

Adler, A. I., Stratton, I. M., Neil, H. A. W., Yudkin, J. S., Matthews, D. R., Cull, C. A., et al. (2000). Association of systolic blood pressure with macrovascular and microvascular complications of type 2 diabetes (UKPDS 36). BMJ, 321, 412–419.PubMedCentralPubMedCrossRef

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211.CrossRef

Ashford, S., Edmunds, J., & French, D. P. (2010). What is the most effective way to change self-efficacy to promote lifestyle and recreational physical activity? A systematic review with meta-analysis. British Journal of Health Psychology, 15, 265–288.PubMedCrossRef

Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Upper Saddle River, NJ: Prentice-Hall.

Bandura, A. (1998). Health promotion from the perspective of social cognitive theory. Psychology & Health, 13, 623–649.CrossRef

Bandura, A. (2006). Guide for constructing self-efficacy scales. In F. Pajares & T. Urdan (Eds.), Self-efficacy beliefs of adolescents (pp. 307–337). Greenwich, CT: Information Age Publishing.

Bernaix, L. W. (2000). Nurses’ attitudes, subjective norms, and behavioral intentions toward support of breastfeeding. Journal of Human Lactation, 16, 201–209.PubMedCrossRef

Blackman, D. E. (1974). Operant conditioning: An experimental analysis of behaviour. Cambridge: Mathuen.

Bonetti, D., Johnston, M., Clarkson, J. E., Grimshaw, J., Pitts, N. B., Eccles, M., et al. (2010). Applying psychological theories to evidence-based clinical practice: Identifying factors predictive of placing preventive fissure sealants. Implementation Science, 5, 25. doi:10.1186/1748-5908-5-25 PubMedCentralPubMedCrossRef

Bonetti, D., Pitts, N. B., Eccles, M. P., Grimshaw, J. M., Johnston, M., Steen, N., et al. (2006). Applying psychological theory to evidence-based clinical practice: Identifying factors predictive of taking intra-oral radiographs. Social Science and Medicine, 63, 1889–1899.PubMedCrossRef

Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.PubMedCrossRef

Dixon, D. (2006). Conceptual and measurement models of disability. (PhD), University of Aberdeen, PhD thesis.

Eccles, M. P., Grimshaw, J. M., Johnston, M., Steen, N., Pitts, N. B., Thomas, R., et al. (2007). Applying psychological theories to evidence-based clinical practice: Identifying factors predictive of managing upper respiratory tract infections without antibiotics. Implementation Science, 2, 26.PubMedCentralPubMedCrossRef

Eccles, M. P., Hawthorne, G., Johnston, M., Hunter, M., Steen, N., Francis, J., et al. (2009a). Improving the delivery of care for patients with diabetes through understanding optimised team work and organisation in primary care. Implementation Science, 4, 22. doi:10.1186/1748-5908-4-22 PubMedCentralPubMedCrossRef

Eccles, M. P., Hrisos, S., Francis, J. J., Stamp, E., Johnston, M., Hawthorne, G., et al. (2011). Instrument development, data collection and characteristics of practices, staff and measures in the Improving Quality of Care in Diabetes (iQuaD) Study. Implementation Science, 6, 61. doi:10.1186/1748-5908-6-61 PubMedCentralPubMedCrossRef

Eccles, M. P., Hrisos, S., Francis, J. J., Steen, N., Bosch, M., & Johnston, M. (2009b). Can the collective intentions of individual professionals within healthcare teams predict the team’s performance: Developing methods and theory. Implementation Science, 4, 24.PubMedCentralPubMedCrossRef

Fishbein, M. (1967). Attitude and the prediction of behavior. In M. Fishbein (Ed.), Readings in attitude theory and measurement. New York: Wiley.

Francis, J. J., Eccles, M. P., Johnston, M., Walker, A., Grimshaw, J. M., Foy, R., et al. (2004). Constructing questionnaires based on the theory of planned behaviour: A manual for health services researchers.

Gardner, B., de Bruijn, G.-J., & Lally, P. (2011). A systematic review and meta-analysis of applications of the self-report habit index to nutrition and physical activity behaviours. Annals of Behavioral Medicine, 42, 174–187.PubMedCrossRef

Godin, G., Bélanger-Gravel, A., Eccles, M. P., & Grimshaw, J. M. (2008). Healthcare professionals’ intentions and behaviours: A systematic review of studies based on social cognitive theories. Implementation Science, 3, 36.PubMedCentralPubMedCrossRef

Grimshaw, J. M., Eccles, M. P., Steen, N., Johnston, M., Pitts, N. B., Glidewell, L., et al. (2011). Applying psychological theories to evidence-based clinical practice: Identifying factors predictive of lumbar spine x-ray for low back pain in UK primary care practice. Implementation Science, 6, 55.PubMedCentralPubMedCrossRef

Grol, R. P. T. M., Bosch, M. C., Hulscher, M. E. J. L., Eccles, M. P., & Wensing, M. (2007). Planning and studying improvement in patient care: The use of theoretical perspectives. Milbank Quarterly, 85, 93–138. doi:10.1111/j.1468-0009.2007.00478.x PubMedCentralPubMedCrossRef

Hagger, M. S., Chatzisarantis, N. L. D., & Biddle, S. J. H. (2002). A meta-analytic review of the theories of reasoned action and planned behavior in physical activity: Predictive validity and the contribution of additional variables. Journal of Sport & Exercise Psychology, 24, 3–32.

Hrisos, S., Eccles, M. P., Johnston, M., Francis, J. J., Kaner, E. F. S., Steen, I. N., et al. (2008). An intervention modelling experiment to change GPs’ intentions to implement evidence-based practice: Using theory-based interventions to promote GP management of upper respiratory tract infection without prescribing antibiotics. BMC HSR, 8, 10.

HSCIC. (2012). National Diabetes Audit 2010–2011 Report 1: Care processes and treatment targets.

McEachan, R. R. C., Conner, M., Taylor, N., & Lawton, R. J. (2011). Prospective prediction of health-related behaviors with the theory of planned behavior: A meta-analysis. Health Psychology Review, 5, 97–144. doi:10.1080/17437199.2010.521684 CrossRef

Michie, S., Johnston, M., Abraham, C., Lawton, R., Parker, D., & Walker, A. (2005). Making psychological theory useful for implementing evidence based practice: A consensus approach. Quality and Safety in Health Care, 14, 26–33.PubMedCentralPubMedCrossRef

Michie, S., Johnston, M., Francis, J. J., Hardeman, W., & Eccles, M. P. (2008). From theory to intervention: Mapping theoretically derived behavioural determinants to behaviour change techniques. Applied Psychology: An International Review, 57, 660–680.CrossRef

Michie, S., Richardson, M., Johnston, M., Abraham, C., Francis, J., Hardeman, W., et al. (in press). The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: Building an international consensus for the reporting of behavior change interventions. Annals of Behavioral Medicine. doi:10.1007/s12160-013-9486-6

National Institute for Health and Clinical Excellence. (2008). Type 2 diabetes: the management of type 2 diabetes (update). London: Royal College of Physicians.

NHS Information Centre. (2010). Practice level QOF tables 2009/10—Prevalence. Retrieved from: http://www.ic.nhs.uk/webfiles/QOF/2009-10/Prevalence%20tables/QOF0910_Pracs_Prevalence_Aug_2011.xls

Noar, S. M., & Zimmerman, R. S. (2005). Health Behavior Theory and cumulative knowledge regarding health behaviors: Are we moving in the right direction? Health Education Research, 20, 275–290.PubMedCrossRef

Presseau, J., Francis, J. J., Campbell, N. C., & Sniehotta, F. F. (2011). Goal conflict, goal facilitation, and health professionals’ provision of physical activity advice in primary care: An exploratory prospective study. Implementation Science, 6, 73.PubMedCentralPubMedCrossRef

Rasbash, J., Browne, W. J., Healy, M., Cameron, B., & Charlton, C. (2010). MLwiN (Vol. 2.20). Bristol, UK.

Sniehotta, F. F., & Presseau, J. (2012). The habitual use of the self-report habit index. Annals of Behavioral Medicine, 43, 139–140.PubMedCrossRef

Sniehotta, F. F., Schwarzer, R., Scholz, U., & Shuz, B. (2005). Action planning and coping planning for long-term lifestyle change: Theory and assessment. European Journal of Social Psychology, 35, 565–576.CrossRef

Strack, F., & Deutsch, R. (2004). Reflective and impulsive determinants of social behavior. Personality and Social Psychology Review, 8, 220–247.PubMedCrossRef

Verplanken, B., & Orbell, S. (2003). Reflections on past behavior: A self-report index of habit strength. Journal of Applied Social Psychology, 33, 1313–1330.CrossRef

Walker, A. E., Grimshaw, J., Johnston, M., Pitts, N., Steen, N., & Eccles, M. (2003). PRIME—PRocess modelling in ImpleMEntation research: Selecting a theoretical basis for interventions to change clinical practice. BMC Health Services Research, 3, 22.PubMedCentralPubMedCrossRef

Webb, T. L., & Sheeran, P. (2006). Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychological Bulletin, 132, 249–268.PubMedCrossRef

Titel: Theory-based predictors of multiple clinician behaviors in the management of diabetes
verfasst von: Justin Presseau
Marie Johnston
Jill J. Francis
Susan Hrisos
Elaine Stamp
Nick Steen
Gillian Hawthorne
Jeremy M. Grimshaw
Marko Elovainio
Margaret Hunter
Martin P. Eccles
Publikationsdatum: 01.08.2014
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 4/2014
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-013-9513-x

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2014

Appraisal of emerging symptoms of colorectal cancer: associations with dispositional, demographic, and tumor characteristics

Representativeness of two sampling procedures for an internet intervention targeting cancer-related distress: a comparison of convenience and registry samples

Associations between depressive symptoms, self-efficacy, eating styles, exercise and body mass index in women

The impact of age on outcomes in chronic obstructive pulmonary disease differs by relationship status

Adolescent self-control predicts joint trajectories of marijuana use and depressive mood into young adulthood among urban African Americans and Puerto Ricans