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

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

Research output: Contribution to journalArticle

17 Citations (Scopus)
4 Downloads (Pure)

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.
Original languageEnglish
Pages (from-to)607-620
Number of pages14
JournalJournal of Behavioral Medicine
Volume37
Issue number4
Early online date14 May 2013
DOIs
Publication statusPublished - Aug 2014

Fingerprint

Self Efficacy
Habits
Quality Improvement
Motivation
Primary Health Care
Nurses
Learning
Physicians
United Kingdom
Social Theory
Surveys and Questionnaires

Keywords

  • clinician behaviour
  • intention
  • habit
  • multiple behaviors
  • planning
  • self-efficacy

Cite this

Theory-based predictors of multiple clinician behaviors in the management of diabetes. / Presseau, Justin; Johnston, Marie; Francis, Jill J; Hrisos, Susan; Stamp, Elaine; Steen, Nick; Hawthorne, Gillian; Grimshaw, Jeremy M; Elovainio, Marko; Hunter, Margaret; Eccles, Martin P.

In: Journal of Behavioral Medicine, Vol. 37, No. 4, 08.2014, p. 607-620.

Research output: Contribution to journalArticle

Presseau, J, Johnston, M, Francis, JJ, Hrisos, S, Stamp, E, Steen, N, Hawthorne, G, Grimshaw, JM, Elovainio, M, Hunter, M & Eccles, MP 2014, 'Theory-based predictors of multiple clinician behaviors in the management of diabetes', Journal of Behavioral Medicine, vol. 37, no. 4, pp. 607-620. https://doi.org/10.1007/s10865-013-9513-x
Presseau, Justin ; Johnston, Marie ; Francis, Jill J ; Hrisos, Susan ; Stamp, Elaine ; Steen, Nick ; Hawthorne, Gillian ; Grimshaw, Jeremy M ; Elovainio, Marko ; Hunter, Margaret ; Eccles, Martin P. / Theory-based predictors of multiple clinician behaviors in the management of diabetes. In: Journal of Behavioral Medicine. 2014 ; Vol. 37, No. 4. pp. 607-620.
@article{5800af63f55a46d58db92365449f7d4d,
title = "Theory-based predictors of multiple clinician behaviors in the management of diabetes",
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.",
keywords = "clinician behaviour, intention , habit, multiple behaviors, planning, self-efficacy",
author = "Justin Presseau and Marie Johnston and Francis, {Jill J} and Susan Hrisos and Elaine Stamp and Nick Steen and Gillian Hawthorne and Grimshaw, {Jeremy M} and Marko Elovainio and Margaret Hunter and Eccles, {Martin P}",
year = "2014",
month = "8",
doi = "10.1007/s10865-013-9513-x",
language = "English",
volume = "37",
pages = "607--620",
journal = "Journal of Behavioral Medicine",
issn = "0160-7715",
publisher = "Springer New York",
number = "4",

}

TY - JOUR

T1 - Theory-based predictors of multiple clinician behaviors in the management of diabetes

AU - Presseau, Justin

AU - Johnston, Marie

AU - Francis, Jill J

AU - Hrisos, Susan

AU - Stamp, Elaine

AU - Steen, Nick

AU - Hawthorne, Gillian

AU - Grimshaw, Jeremy M

AU - Elovainio, Marko

AU - Hunter, Margaret

AU - Eccles, Martin P

PY - 2014/8

Y1 - 2014/8

N2 - 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.

AB - 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.

KW - clinician behaviour

KW - intention

KW - habit

KW - multiple behaviors

KW - planning

KW - self-efficacy

U2 - 10.1007/s10865-013-9513-x

DO - 10.1007/s10865-013-9513-x

M3 - Article

C2 - 23670643

VL - 37

SP - 607

EP - 620

JO - Journal of Behavioral Medicine

JF - Journal of Behavioral Medicine

SN - 0160-7715

IS - 4

ER -