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PRIME – PRocess modelling in ImpleMEntation research: selecting a theoretical basis for interventions to change clinical practice

BACKGROUND: Biomedical research constantly produces new findings but these are not routinely translated into health care practice. One way to address this problem is to develop effective interventions to translate research findings into practice. Currently a range of empirical interventions are avai...

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Detalles Bibliográficos
Autores principales: Walker, Anne E, Grimshaw, Jeremy, Johnston, Marie, Pitts, Nigel, Steen, Nick, Eccles, Martin
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2003
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC317340/
https://www.ncbi.nlm.nih.gov/pubmed/14683530
http://dx.doi.org/10.1186/1472-6963-3-22
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author Walker, Anne E
Grimshaw, Jeremy
Johnston, Marie
Pitts, Nigel
Steen, Nick
Eccles, Martin
author_facet Walker, Anne E
Grimshaw, Jeremy
Johnston, Marie
Pitts, Nigel
Steen, Nick
Eccles, Martin
author_sort Walker, Anne E
collection PubMed
description BACKGROUND: Biomedical research constantly produces new findings but these are not routinely translated into health care practice. One way to address this problem is to develop effective interventions to translate research findings into practice. Currently a range of empirical interventions are available and systematic reviews of these have demonstrated that there is no single best intervention. This evidence base is difficult to use in routine settings because it cannot identify which intervention is most likely to be effective (or cost effective) in a particular situation. We need to establish a scientific rationale for interventions. As clinical practice is a form of human behaviour, theories of human behaviour that have proved useful in other similar settings may provide a basis for developing a scientific rationale for the choice of interventions to translate research findings into clinical practice. The objectives of the study are: to amplify and populate scientifically validated theories of behaviour with evidence from the experience of health professionals; to use this as a basis for developing predictive questionnaires using replicable methods; to identify which elements of the questionnaire (i.e., which theoretical constructs) predict clinical practice and distinguish between evidence compliant and non-compliant practice; and on the basis of these results, to identify variables (based on theoretical constructs) that might be prime targets for behaviour change interventions. METHODS: We will develop postal questionnaires measuring two motivational, three action and one stage theory to explore five behaviours with 800 general medical and 600 general dental practitioners. We will collect data on performance for each of the behaviours. The relationships between predictor variables (theoretical constructs) and outcome measures (data on performance) in each survey will be assessed using multiple regression analysis and structural equation modelling. In the final phase of the project, the findings from all surveys will be analysed simultaneously adopting a random effects approach to investigate whether the relationships between predictor variables and outcome measures are modified by behaviour, professional group or geographical location.
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spelling pubmed-3173402004-01-23 PRIME – PRocess modelling in ImpleMEntation research: selecting a theoretical basis for interventions to change clinical practice Walker, Anne E Grimshaw, Jeremy Johnston, Marie Pitts, Nigel Steen, Nick Eccles, Martin BMC Health Serv Res Study Protocol BACKGROUND: Biomedical research constantly produces new findings but these are not routinely translated into health care practice. One way to address this problem is to develop effective interventions to translate research findings into practice. Currently a range of empirical interventions are available and systematic reviews of these have demonstrated that there is no single best intervention. This evidence base is difficult to use in routine settings because it cannot identify which intervention is most likely to be effective (or cost effective) in a particular situation. We need to establish a scientific rationale for interventions. As clinical practice is a form of human behaviour, theories of human behaviour that have proved useful in other similar settings may provide a basis for developing a scientific rationale for the choice of interventions to translate research findings into clinical practice. The objectives of the study are: to amplify and populate scientifically validated theories of behaviour with evidence from the experience of health professionals; to use this as a basis for developing predictive questionnaires using replicable methods; to identify which elements of the questionnaire (i.e., which theoretical constructs) predict clinical practice and distinguish between evidence compliant and non-compliant practice; and on the basis of these results, to identify variables (based on theoretical constructs) that might be prime targets for behaviour change interventions. METHODS: We will develop postal questionnaires measuring two motivational, three action and one stage theory to explore five behaviours with 800 general medical and 600 general dental practitioners. We will collect data on performance for each of the behaviours. The relationships between predictor variables (theoretical constructs) and outcome measures (data on performance) in each survey will be assessed using multiple regression analysis and structural equation modelling. In the final phase of the project, the findings from all surveys will be analysed simultaneously adopting a random effects approach to investigate whether the relationships between predictor variables and outcome measures are modified by behaviour, professional group or geographical location. BioMed Central 2003-12-19 /pmc/articles/PMC317340/ /pubmed/14683530 http://dx.doi.org/10.1186/1472-6963-3-22 Text en Copyright © 2003 Walker et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
spellingShingle Study Protocol
Walker, Anne E
Grimshaw, Jeremy
Johnston, Marie
Pitts, Nigel
Steen, Nick
Eccles, Martin
PRIME – PRocess modelling in ImpleMEntation research: selecting a theoretical basis for interventions to change clinical practice
title PRIME – PRocess modelling in ImpleMEntation research: selecting a theoretical basis for interventions to change clinical practice
title_full PRIME – PRocess modelling in ImpleMEntation research: selecting a theoretical basis for interventions to change clinical practice
title_fullStr PRIME – PRocess modelling in ImpleMEntation research: selecting a theoretical basis for interventions to change clinical practice
title_full_unstemmed PRIME – PRocess modelling in ImpleMEntation research: selecting a theoretical basis for interventions to change clinical practice
title_short PRIME – PRocess modelling in ImpleMEntation research: selecting a theoretical basis for interventions to change clinical practice
title_sort prime – process modelling in implementation research: selecting a theoretical basis for interventions to change clinical practice
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC317340/
https://www.ncbi.nlm.nih.gov/pubmed/14683530
http://dx.doi.org/10.1186/1472-6963-3-22
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