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Planning to be routine: habit as a mediator of the planning-behaviour relationship in healthcare professionals
BACKGROUND: Gaps in the quality of care provided to people with type 2 diabetes are regularly identified. Healthcare professionals often have a strong intention to follow practice guidelines during consultations with people with type 2 diabetes; however, this intention does not always translate into...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5319033/ https://www.ncbi.nlm.nih.gov/pubmed/28222751 http://dx.doi.org/10.1186/s13012-017-0551-6 |
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author | Potthoff, Sebastian Presseau, Justin Sniehotta, Falko F. Johnston, Marie Elovainio, Marko Avery, Leah |
author_facet | Potthoff, Sebastian Presseau, Justin Sniehotta, Falko F. Johnston, Marie Elovainio, Marko Avery, Leah |
author_sort | Potthoff, Sebastian |
collection | PubMed |
description | BACKGROUND: Gaps in the quality of care provided to people with type 2 diabetes are regularly identified. Healthcare professionals often have a strong intention to follow practice guidelines during consultations with people with type 2 diabetes; however, this intention does not always translate into action. Action planning (planning when, where and how to act) and coping planning (planning how to overcome pre-identified barriers) have been hypothesised to help with the enactment of intentions by creating mental cue-response links that promote habit formation. This study aimed to investigate whether habit helps to better understand how action and coping planning relate to clinical behaviour in the context of type 2 diabetes care. METHODS: The study utilised a prospective correlational design with six nested sub-studies. General practitioners and practice nurses (n = 427 from 99 UK primary care practices) completed measures of action planning, coping planning and habit at baseline and then self-reported their enactment of guideline-recommended advising, prescribing and examining behaviours 12 months later. Bootstrapped mediation analyses were used to test the indirect effect of action and coping planning on healthcare professionals’ clinical behaviour via their relationship with habit. RESULTS: Healthcare professionals who reported higher degrees of action or coping planning for performing six guideline recommended behaviours in the context of type 2 diabetes care were more likely to report performing these behaviours in clinical practice. All 12 bootstrapped mediation analyses showed that the positive relationship between planning (action and coping planning) and healthcare professionals’ clinical behaviour operated indirectly through habit. CONCLUSIONS: These findings suggest that habit mediates the relationship between planning (action and coping planning) and healthcare professional behaviour. Promoting careful action and coping planning may support routinised uptake of guideline-recommended care by healthcare professionals in the primary care setting. Given the competing demands on healthcare professionals, exploring the behavioural processes involved in promoting more routinisation of behaviours where possible and appropriate could free up cognitive capacity for clinical behaviours that rely on more deliberation. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13012-017-0551-6) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5319033 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-53190332017-02-24 Planning to be routine: habit as a mediator of the planning-behaviour relationship in healthcare professionals Potthoff, Sebastian Presseau, Justin Sniehotta, Falko F. Johnston, Marie Elovainio, Marko Avery, Leah Implement Sci Research BACKGROUND: Gaps in the quality of care provided to people with type 2 diabetes are regularly identified. Healthcare professionals often have a strong intention to follow practice guidelines during consultations with people with type 2 diabetes; however, this intention does not always translate into action. Action planning (planning when, where and how to act) and coping planning (planning how to overcome pre-identified barriers) have been hypothesised to help with the enactment of intentions by creating mental cue-response links that promote habit formation. This study aimed to investigate whether habit helps to better understand how action and coping planning relate to clinical behaviour in the context of type 2 diabetes care. METHODS: The study utilised a prospective correlational design with six nested sub-studies. General practitioners and practice nurses (n = 427 from 99 UK primary care practices) completed measures of action planning, coping planning and habit at baseline and then self-reported their enactment of guideline-recommended advising, prescribing and examining behaviours 12 months later. Bootstrapped mediation analyses were used to test the indirect effect of action and coping planning on healthcare professionals’ clinical behaviour via their relationship with habit. RESULTS: Healthcare professionals who reported higher degrees of action or coping planning for performing six guideline recommended behaviours in the context of type 2 diabetes care were more likely to report performing these behaviours in clinical practice. All 12 bootstrapped mediation analyses showed that the positive relationship between planning (action and coping planning) and healthcare professionals’ clinical behaviour operated indirectly through habit. CONCLUSIONS: These findings suggest that habit mediates the relationship between planning (action and coping planning) and healthcare professional behaviour. Promoting careful action and coping planning may support routinised uptake of guideline-recommended care by healthcare professionals in the primary care setting. Given the competing demands on healthcare professionals, exploring the behavioural processes involved in promoting more routinisation of behaviours where possible and appropriate could free up cognitive capacity for clinical behaviours that rely on more deliberation. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13012-017-0551-6) contains supplementary material, which is available to authorized users. BioMed Central 2017-02-21 /pmc/articles/PMC5319033/ /pubmed/28222751 http://dx.doi.org/10.1186/s13012-017-0551-6 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Potthoff, Sebastian Presseau, Justin Sniehotta, Falko F. Johnston, Marie Elovainio, Marko Avery, Leah Planning to be routine: habit as a mediator of the planning-behaviour relationship in healthcare professionals |
title | Planning to be routine: habit as a mediator of the planning-behaviour relationship in healthcare professionals |
title_full | Planning to be routine: habit as a mediator of the planning-behaviour relationship in healthcare professionals |
title_fullStr | Planning to be routine: habit as a mediator of the planning-behaviour relationship in healthcare professionals |
title_full_unstemmed | Planning to be routine: habit as a mediator of the planning-behaviour relationship in healthcare professionals |
title_short | Planning to be routine: habit as a mediator of the planning-behaviour relationship in healthcare professionals |
title_sort | planning to be routine: habit as a mediator of the planning-behaviour relationship in healthcare professionals |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5319033/ https://www.ncbi.nlm.nih.gov/pubmed/28222751 http://dx.doi.org/10.1186/s13012-017-0551-6 |
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