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AI Adler

CJ Armitage

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Eileen FS Kaner

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Jill J Francis

KG Shojania

M Fishbein

M Wensing

Marie Johnston

Marije Bosch

Martin P Eccles

MP Eccles

R Dijkstra

R Foy

Richard Grol

Rob Dijkstra

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Susan Hrisos

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Hrisos, S

Eccles, M P

Francis, J J

Bosch, M

Dijkstra, R

Johnston, M

Grol, R

Kaner, E F S

Steen, I N

Research Archive

A: 'Psychological Theory' Group. Making psychological theory useful for implementing evidence based practice: a consensus approach. Quality & Safety in Health Care

A: Explaining the effects of an intervention designed to promote evidence-based diabetes care: a theory-based process evaluation of a pragmatic cluster randomised controlled trial. Implementation Science

Ajzen I: Belief, attitude, intention and behaviour: an introduction to theory and research London:

Applying psychological theories to evidence-based clinical practice: Identifying factors predictive of managing upper respiratory tract infections without antibiotics. Implementation Science

Bridging the intentionbehaviour gap: planning, self-efficacy, and action control in the adoption and maintenance of physical exercise.

Can psychological models bridge the gap between clinical guidelines and clinicians' behaviour? A randomised controlled trial of an intervention to influence dentists' intention to implement evidence-based practice.

Constructing questionnaires based on the theory of planned behaviour. A manual for health services researchers Newcastle upon Tyne:

D: A pragmatic cluster randomised controlled trial of a Diabetes REcall And Management system: the DREAM Trial. Implementation Science

Developing the content of two behavioural interventions: Using theory-based interventions to promote GP management of upper respiratory tract infection without prescribing antibiotics #1. BMC Health Services Research

Diabetes care – St Vincent in progress [Statement from St Vincent Declaration Meeting,

Diabetes Mellitus Care. In Closing the quality gap: a critical analysis of quality improvement strategies Technical Review 9 2nd edition. Edited by: Shojania

Do self-reported intentions predict clinicians' behaviour: a systematic review. Implementation Science

Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technol Assess

Efficacy of the theory of planned behaviour: a meta-analytic review.

Group obotUPDS: Association of systolic blood pressure with macrovascular and microvascular complications of type 2 diabetes (UKPDS 36): prospective observational study. BMJ

Guiding the design and selection of interventions to influence the implementation of evidence-based practice: an experimental simulation of a complex intervention trial. Soc Sci Med

Healthcare professionals' intentions and behaviours: A systematic

Implementing diabetes passports to focus practice reorganization on improving diabetes care.

Implementing guidelines and innovations in general practice: which interventions are effective? Br J Gen Pract

L: A randomised controlled trial of a patient based Diabetes Recall and Management System: the DREAM Trial: A study protocol [ISRCTN32042030] (21

Owens DK: Effects of quality improvement strategies for type 2 diabetes on glycemic control. JAMA

Salient beliefs and intentions to prescribe antiobiotics for patients with a sore throat.

The development of a theory-based intervention to promote appropriate disclosure of a diagnosis of dementia.

The theory of planned behaviour. Organizational Behaviour and Human Decision Processes 1991, 50:179-211. review of studies based on social cognitive theories. Implementation Science

Which factors explain variation in intention to disclose a diagnosis of dementia? A theory-based survey of mental health professionals. Implementation Science

Using psychological theory to understand the clinical management of type 2 diabetes in Primary Care : a comparison across two European countries

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Using psychological theory to understand the clinical management of type 2 diabetes in Primary Care: a comparison across two European countries

Abstract Background Long term management of patients with Type 2 diabetes is well established within Primary Care. However, despite extensive efforts to implement high quality care both service provision and patient health outcomes remain sub-optimal. Several recent studies suggest that psychological theories about individuals' behaviour can provide a valuable framework for understanding generalisable factors underlying health professionals' clinical behaviour. In the context of the team management of chronic disease such as diabetes, however, the application of such models is less well established. The aim of this study was to identify motivational factors underlying health professional teams' clinical management of diabetes using a psychological model of human behaviour. Methods A predictive questionnaire based on the Theory of Planned Behaviour (TPB) investigated health professionals' (HPs') cognitions (e.g., beliefs, attitudes and intentions) about the provision of two aspects of care for patients with diabetes: prescribing statins and inspecting feet. General practitioners and practice nurses in England and the Netherlands completed parallel questionnaires, cross-validated for equivalence in English and Dutch. Behavioural data were practice-level patient-reported rates of foot examination and use of statin medication. Relationships between the cognitive antecedents of behaviour proposed by the TPB and healthcare teams' clinical behaviour were explored using multiple regression. Results In both countries, attitude and subjective norm were important predictors of health professionals' intention to inspect feet (Attitude: beta = .40; Subjective Norm: beta = .28; Adjusted R2 = .34, p 2 = .40, p  Conclusion Using the TPB, we identified modifiable factors underlying health professionals' intentions to perform two clinical behaviours, providing a rationale for the development of targeted interventions. However, we did not observe a relationship between health professionals' intentions and our proxy measure of team behaviour. Significant methodological issues were highlighted concerning the use of models of individual behaviour to explain behaviours performed by teams. In order to investigate clinical behaviours performed by teams it may be necessary to develop measures that reflect the collective cognitions of the members of the team to facilitate the application of these theoretical models to team behaviours.</p

Johnston Marie

Dijkstra Rob

Bosch Marije

Francis Jill J

Eccles Martin P

Hrisos Susan

Grol Richard

Kaner Eileen FS

Steen Ian N

Directory of Open Access Journals

BACKGROUND: Long term management of patients with Type 2 diabetes is well established within Primary Care. However, despite extensive efforts to implement high quality care both service provision and patient health outcomes remain sub-optimal. Several recent studies suggest that psychological theories about individuals' behaviour can provide a valuable framework for understanding generalisable factors underlying health professionals' clinical behaviour. In the context of the team management of chronic disease such as diabetes, however, the application of such models is less well established. The aim of this study was to identify motivational factors underlying health professional teams' clinical management of diabetes using a psychological model of human behaviour. METHODS: A predictive questionnaire based on the Theory of Planned Behaviour (TPB) investigated health professionals' (HPs') cognitions (e.g., beliefs, attitudes and intentions) about the provision of two aspects of care for patients with diabetes: prescribing statins and inspecting feet.General practitioners and practice nurses in England and the Netherlands completed parallel questionnaires, cross-validated for equivalence in English and Dutch. Behavioural data were practice-level patient-reported rates of foot examination and use of statin medication. Relationships between the cognitive antecedents of behaviour proposed by the TPB and healthcare teams' clinical behaviour were explored using multiple regression. RESULTS: In both countries, attitude and subjective norm were important predictors of health professionals' intention to inspect feet (Attitude: beta = .40; Subjective Norm: beta = .28; Adjusted R2 = .34, p < 0.01), and their intention to prescribe statins (Attitude: beta = .44; Adjusted R2 = .40, p < 0.01). Individuals' self-reported intention did not predict practice-level performance of either clinical behaviour. CONCLUSION: Using the TPB, we identified modifiable factors underlying health professionals' intentions to perform two clinical behaviours, providing a rationale for the development of targeted interventions. However, we did not observe a relationship between health professionals' intentions and our proxy measure of team behaviour. Significant methodological issues were highlighted concerning the use of models of individual behaviour to explain behaviours performed by teams. In order to investigate clinical behaviours performed by teams it may be necessary to develop measures that reflect the collective cognitions of the members of the team to facilitate the application of these theoretical models to team behaviours

Hrisos, S.

Eccles, M.P.

Francis, J.J.

Bosch, M.C.

Dijkstra, R.F.

Johnston, M.

Grol, R.P.T.M.

Kaner, E.F.

Steen, I.N.

NARCIS 

Using psychological theory to understand the clinical management of type 2 diabetes in Primary Care: a comparison across two European countries.

Contains fulltext :
                  80988.pdf (publisher's version ) (Open Access)BACKGROUND: Long term management of patients with Type 2 diabetes is well established within Primary Care. However, despite extensive efforts to implement high quality care both service provision and patient health outcomes remain sub-optimal. Several recent studies suggest that psychological theories about individuals' behaviour can provide a valuable framework for understanding generalisable factors underlying health professionals' clinical behaviour. In the context of the team management of chronic disease such as diabetes, however, the application of such models is less well established. The aim of this study was to identify motivational factors underlying health professional teams' clinical management of diabetes using a psychological model of human behaviour. METHODS: A predictive questionnaire based on the Theory of Planned Behaviour (TPB) investigated health professionals' (HPs') cognitions (e.g., beliefs, attitudes and intentions) about the provision of two aspects of care for patients with diabetes: prescribing statins and inspecting feet.General practitioners and practice nurses in England and the Netherlands completed parallel questionnaires, cross-validated for equivalence in English and Dutch. Behavioural data were practice-level patient-reported rates of foot examination and use of statin medication. Relationships between the cognitive antecedents of behaviour proposed by the TPB and healthcare teams' clinical behaviour were explored using multiple regression. RESULTS: In both countries, attitude and subjective norm were important predictors of health professionals' intention to inspect feet (Attitude: beta = .40; Subjective Norm: beta = .28; Adjusted R2 = .34, p < 0.01), and their intention to prescribe statins (Attitude: beta = .44; Adjusted R2 = .40, p < 0.01). Individuals' self-reported intention did not predict practice-level performance of either clinical behaviour. CONCLUSION: Using the TPB, we identified modifiable factors underlying health professionals' intentions to perform two clinical behaviours, providing a rationale for the development of targeted interventions. However, we did not observe a relationship between health professionals' intentions and our proxy measure of team behaviour. Significant methodological issues were highlighted concerning the use of models of individual behaviour to explain behaviours performed by teams. In order to investigate clinical behaviours performed by teams it may be necessary to develop measures that reflect the collective cognitions of the members of the team to facilitate the application of these theoretical models to team behaviours

Radboud Repository

Eccles, MP

Francis, JJ

Kaner, EFS

Steen, IN

University of Melbourne Institutional Repository

Background: Long term management of patients with Type 2 diabetes is well established within Primary Care. However, despite extensive efforts to implement high quality care both service provision and patient health outcomes remain sub-optimal. Several recent studies suggest that psychological theories about individuals' behaviour can provide a valuable framework for understanding generalisable factors underlying health professionals' clinical behaviour. In the context of the team management of chronic disease such as diabetes, however, the application of such models is less well established. The aim of this study was to identify motivational factors underlying health professional teams' clinical management of diabetes using a psychological model of human behaviour.



Methods: A predictive questionnaire based on the Theory of Planned Behaviour (TPB) investigated health professionals' (HPs') cognitions (e.g., beliefs, attitudes and intentions) about the provision of two aspects of care for patients with diabetes: prescribing statins and inspecting feet.



General practitioners and practice nurses in England and the Netherlands completed parallel questionnaires, cross- alidated for equivalence in English and Dutch. Behavioural data were practice-level patient-reported rates of foot examination and use of statin medication. Relationships between the cognitive antecedents of behaviour proposed by the TPB and healthcare teams' clinical behaviour were explored using multiple regression.



Results: In both countries, attitude and subjective norm were important predictors of health professionals' intention to inspect feet (Attitude: beta = .40; Subjective Norm: beta = .28; Adjusted R2 = .34, p < 0.01), and their intention to prescribe statins (Attitude: beta = .44; Adjusted R2 = .40, p < 0.01). Individuals' self-reported intention did not predict practice-level performance of either clinical behaviour.



Conclusion: Using the TPB, we identified modifiable factors underlying health professionals' intentions to perform two clinical behaviours, providing a rationale for the development of targeted interventions. However, we did not observe a relationship between health professionals' intentions and our proxy measure of team behaviour. Significant methodological issues were highlighted concerning the use of models of individual behaviour to explain behaviours performed by teams. In order to investigate clinical behaviours performed by teams it may be necessary to develop measures that reflect the collective cognitions of the members of the team to facilitate the application of these theoretical models to team behaviours

Eccles, M. P.

Francis, J.

Bosch, M.

Dijkstra, R.

Grol, R.

Kaner, E. F. S.

Steen, I.

City Research Online

Crossref

Healthcare professionals' intentions and behaviours: A systematic review of studies based on social cognitive theories. Implementation Science

Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings. Amsterdam: Institute for Research in Extramural Medicine, Vrije Universiteit;

The theory of planned behaviour. Organizational Behaviour and Human Decision Processes

Using psychological theory to understand the clinical management of type 2 diabetes in Primary Care : a comparison across two European countries

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