Applying Theory-Driven Approaches to Understanding and Modifying Clinicians' Behavior: What Do We Know?
Despite major recent research advances, large gaps exist between accepted mental health knowledge and clinicians' real-world practices. Although hundreds of studies have successfully utilized basic behavioral science theories to understand, predict, and change patients' health behaviors, t...
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Veröffentlicht in: | Psychiatric services (Washington, D.C.) D.C.), 2007-03, Vol.58 (3), p.342-348 |
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creator | Perkins, Matthew B Jensen, Peter S Jaccard, James Gollwitzer, Peter Oettingen, Gabriele Pappadopulos, Elizabeth Hoagwood, Kimberly E |
description | Despite major recent research advances, large gaps exist between accepted mental health knowledge and clinicians' real-world practices. Although hundreds of studies have successfully utilized basic behavioral science theories to understand, predict, and change patients' health behaviors, the extent to which these theories-most notably the theory of reasoned action (TRA) and its extension, the theory of planned behavior (TPB)-have been applied to understand and change clinician behavior is unclear. This article reviews the application of theory-driven approaches to understanding and changing clinician behaviors.
MEDLINE and PsycINFO databases were searched, along with bibliographies, textbooks on health behavior or public health, and references from experts, to find article titles that describe theory-driven approaches (TRA or TPB) to understanding and modifying health professionals' behavior.
A total of 19 articles that detailed 20 studies described the use of TRA or TPB and clinicians' behavior. Eight articles describe the use of TRA or TPB with physicians, four relate to nurses, three relate to pharmacists, and two relate to health workers. Only two articles applied TRA or TPB to mental health clinicians. The body of work shows that different constructs of TRA or TPB predict intentions and behavior among different groups of clinicians and for different behaviors and guidelines.
The number of studies on this topic is extremely limited, but they offer a rationale and a direction for future research as well as a theoretical basis for increasing the specificity and efficiency of clinician-targeted interventions. |
doi_str_mv | 10.1176/ps.2007.58.3.342 |
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MEDLINE and PsycINFO databases were searched, along with bibliographies, textbooks on health behavior or public health, and references from experts, to find article titles that describe theory-driven approaches (TRA or TPB) to understanding and modifying health professionals' behavior.
A total of 19 articles that detailed 20 studies described the use of TRA or TPB and clinicians' behavior. Eight articles describe the use of TRA or TPB with physicians, four relate to nurses, three relate to pharmacists, and two relate to health workers. Only two articles applied TRA or TPB to mental health clinicians. The body of work shows that different constructs of TRA or TPB predict intentions and behavior among different groups of clinicians and for different behaviors and guidelines.
The number of studies on this topic is extremely limited, but they offer a rationale and a direction for future research as well as a theoretical basis for increasing the specificity and efficiency of clinician-targeted interventions.</description><identifier>ISSN: 1075-2730</identifier><identifier>EISSN: 1557-9700</identifier><identifier>DOI: 10.1176/ps.2007.58.3.342</identifier><identifier>PMID: 17325107</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Association</publisher><subject>Attitude of Health Personnel ; Behavior modification ; Biological and medical sciences ; Health participants ; Health Personnel - psychology ; Humans ; Intention ; Medical personnel ; Medical sciences ; Mental health care ; Meta-analysis ; Miscellaneous ; Personality ; Practice Patterns, Physicians ; Professional-Patient Relations ; Psychological Theory ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Social Behavior ; Social Environment ; Social Perception ; Social psychiatry. Ethnopsychiatry ; Theory</subject><ispartof>Psychiatric services (Washington, D.C.), 2007-03, Vol.58 (3), p.342-348</ispartof><rights>2007 INIST-CNRS</rights><rights>Copyright American Psychiatric Publishing, Inc. Mar 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a307t-a5a597fe22a4e88bfb15ae53ed3bdec2bdefc5d0147c35ed2d6ddb26c7c6628c3</citedby><cites>FETCH-LOGICAL-a307t-a5a597fe22a4e88bfb15ae53ed3bdec2bdefc5d0147c35ed2d6ddb26c7c6628c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/ps.2007.58.3.342$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/ps.2007.58.3.342$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,780,784,2855,21626,21627,21628,27924,27925,77794,77799</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18606298$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17325107$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Perkins, Matthew B</creatorcontrib><creatorcontrib>Jensen, Peter S</creatorcontrib><creatorcontrib>Jaccard, James</creatorcontrib><creatorcontrib>Gollwitzer, Peter</creatorcontrib><creatorcontrib>Oettingen, Gabriele</creatorcontrib><creatorcontrib>Pappadopulos, Elizabeth</creatorcontrib><creatorcontrib>Hoagwood, Kimberly E</creatorcontrib><title>Applying Theory-Driven Approaches to Understanding and Modifying Clinicians' Behavior: What Do We Know?</title><title>Psychiatric services (Washington, D.C.)</title><addtitle>Psychiatr Serv</addtitle><description>Despite major recent research advances, large gaps exist between accepted mental health knowledge and clinicians' real-world practices. Although hundreds of studies have successfully utilized basic behavioral science theories to understand, predict, and change patients' health behaviors, the extent to which these theories-most notably the theory of reasoned action (TRA) and its extension, the theory of planned behavior (TPB)-have been applied to understand and change clinician behavior is unclear. This article reviews the application of theory-driven approaches to understanding and changing clinician behaviors.
MEDLINE and PsycINFO databases were searched, along with bibliographies, textbooks on health behavior or public health, and references from experts, to find article titles that describe theory-driven approaches (TRA or TPB) to understanding and modifying health professionals' behavior.
A total of 19 articles that detailed 20 studies described the use of TRA or TPB and clinicians' behavior. Eight articles describe the use of TRA or TPB with physicians, four relate to nurses, three relate to pharmacists, and two relate to health workers. Only two articles applied TRA or TPB to mental health clinicians. The body of work shows that different constructs of TRA or TPB predict intentions and behavior among different groups of clinicians and for different behaviors and guidelines.
The number of studies on this topic is extremely limited, but they offer a rationale and a direction for future research as well as a theoretical basis for increasing the specificity and efficiency of clinician-targeted interventions.</description><subject>Attitude of Health Personnel</subject><subject>Behavior modification</subject><subject>Biological and medical sciences</subject><subject>Health participants</subject><subject>Health Personnel - psychology</subject><subject>Humans</subject><subject>Intention</subject><subject>Medical personnel</subject><subject>Medical sciences</subject><subject>Mental health care</subject><subject>Meta-analysis</subject><subject>Miscellaneous</subject><subject>Personality</subject><subject>Practice Patterns, Physicians</subject><subject>Professional-Patient Relations</subject><subject>Psychological Theory</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Social Behavior</subject><subject>Social Environment</subject><subject>Social Perception</subject><subject>Social psychiatry. 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Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Social Behavior</topic><topic>Social Environment</topic><topic>Social Perception</topic><topic>Social psychiatry. Ethnopsychiatry</topic><topic>Theory</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Perkins, Matthew B</creatorcontrib><creatorcontrib>Jensen, Peter S</creatorcontrib><creatorcontrib>Jaccard, James</creatorcontrib><creatorcontrib>Gollwitzer, Peter</creatorcontrib><creatorcontrib>Oettingen, Gabriele</creatorcontrib><creatorcontrib>Pappadopulos, Elizabeth</creatorcontrib><creatorcontrib>Hoagwood, Kimberly E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatric services (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Perkins, Matthew B</au><au>Jensen, Peter S</au><au>Jaccard, James</au><au>Gollwitzer, Peter</au><au>Oettingen, Gabriele</au><au>Pappadopulos, Elizabeth</au><au>Hoagwood, Kimberly E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Applying Theory-Driven Approaches to Understanding and Modifying Clinicians' Behavior: What Do We Know?</atitle><jtitle>Psychiatric services (Washington, D.C.)</jtitle><addtitle>Psychiatr Serv</addtitle><date>2007-03</date><risdate>2007</risdate><volume>58</volume><issue>3</issue><spage>342</spage><epage>348</epage><pages>342-348</pages><issn>1075-2730</issn><eissn>1557-9700</eissn><abstract>Despite major recent research advances, large gaps exist between accepted mental health knowledge and clinicians' real-world practices. Although hundreds of studies have successfully utilized basic behavioral science theories to understand, predict, and change patients' health behaviors, the extent to which these theories-most notably the theory of reasoned action (TRA) and its extension, the theory of planned behavior (TPB)-have been applied to understand and change clinician behavior is unclear. This article reviews the application of theory-driven approaches to understanding and changing clinician behaviors.
MEDLINE and PsycINFO databases were searched, along with bibliographies, textbooks on health behavior or public health, and references from experts, to find article titles that describe theory-driven approaches (TRA or TPB) to understanding and modifying health professionals' behavior.
A total of 19 articles that detailed 20 studies described the use of TRA or TPB and clinicians' behavior. Eight articles describe the use of TRA or TPB with physicians, four relate to nurses, three relate to pharmacists, and two relate to health workers. Only two articles applied TRA or TPB to mental health clinicians. The body of work shows that different constructs of TRA or TPB predict intentions and behavior among different groups of clinicians and for different behaviors and guidelines.
The number of studies on this topic is extremely limited, but they offer a rationale and a direction for future research as well as a theoretical basis for increasing the specificity and efficiency of clinician-targeted interventions.</abstract><cop>Washington, DC</cop><pub>American Psychiatric Association</pub><pmid>17325107</pmid><doi>10.1176/ps.2007.58.3.342</doi><tpages>7</tpages></addata></record> |
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source | MEDLINE; American Psychiatric Publishing Journals (1997-Present); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
subjects | Attitude of Health Personnel Behavior modification Biological and medical sciences Health participants Health Personnel - psychology Humans Intention Medical personnel Medical sciences Mental health care Meta-analysis Miscellaneous Personality Practice Patterns, Physicians Professional-Patient Relations Psychological Theory Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Public health. Hygiene Public health. Hygiene-occupational medicine Social Behavior Social Environment Social Perception Social psychiatry. Ethnopsychiatry Theory |
title | Applying Theory-Driven Approaches to Understanding and Modifying Clinicians' Behavior: What Do We Know? |
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