Effects of a Signature on Rates of Change

Mazmanian, Paul E.; Johnson, Robert E.; Zhang, Aixiu; Boothby, John; Yeatts, Elaine

doi:10.1097/00001888-200106000-00018

Cited by 34 publications

(9 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition to enhancing intentions to change, CE programs should elicit commitments to change by having providers explicitly indicate an intention to make a change as a result of an educational activity (e.g., asking providers to indicate whether they would change practice as a result of the CE program). Statements of commitment to change have been advocated to both stimulate and assess the effectiveness of CE programs 37, 48, 52, 53, and might serve to improve the efficacy of the CE program described here. CE programs that include strategies to effectively help providers overcome barriers to managing depression in clinical care are also needed.…”

Section: Discussionmentioning

confidence: 99%

Theory in practice: Helping providers address depression in diabetes care *

Osborn

Kozak

Wagner

2010

Journal of Continuing Education in the Health Professions

View full text Add to dashboard Cite

Introduction A Continuing Education (CE) program based on the theory of planned behavior was designed to understand and improve health care providers’ practice patterns in screening, assessing, and treating and/or referring patients with diabetes for depression treatment. Methods Participants completed assessments of attitudes, confidence, intentions, and behaviors regarding depression management at three time points: immediately prior to the CE program (baseline), immediately after the CE program (posttest) and six-weeks after the CE program (follow-up). Results Ninety eight providers attended the CE program; 71 completed the baseline assessment; 66 completed the posttest assessment, and 37 completed the 6-week follow-up. Compared to baseline, at posttest providers reported significantly more favorable attitudes, fewer negative attitudes, greater confidence, and greater intention to address depression with their diabetes patients. At six weeks follow-up, there was a marginally significant increase in educating patients about depression, but no other depression management practices changed. Intention to change and confidence predicted some depression practice patterns at follow-up. Fewer barriers were a consistent predictor of depression practice patterns at follow-up. Discussion In the short-term, provider attitudes, confidence, and intentions to address depression with their patients improved. Intention, confidence, and especially barriers are important intervention targets. Lessons for Practice Depression is a common comorbidity of diabetes. Healthcare providers must be better prepared to manage depression in their diabetes patients. Educating health professionals is one approach to improving depression care. Healthcare systems must address barriers to providers’ efforts to manage depression. Continuing education programs should aim to enhance providers’ intentions, confidence, and skills to overcome barriers to addressing depression in clinical care.

show abstract

Section: Discussionmentioning

confidence: 99%

Theory in practice: Helping providers address depression in diabetes care *

Osborn

Kozak

Wagner

2010

Journal of Continuing Education in the Health Professions

View full text Add to dashboard Cite

show abstract

“…On the other hand, people's professional identities are usually fixed and do not necessarily need priming. This might explain why in Mazmanian et al (2001) a physician's signature had no impact on his/her subsequent behavior. Specifically, physicians were asked to sign a commitment to change to a certain treatment, but their signature did not affect their actual compliance with this commitment.…”

Section: Insights From the Theory Of Affordancesmentioning

confidence: 99%

“…Studies from marketing and higher education document the priming effect of a signature in certain circumstances: the signature reminds people about certain aspects of their self-identity and leads to desired behavioral changes. However, the results from Mazmanian et al (2001) cast doubt on the effectiveness of such a measure in a professional context. No evidence on this issue exists in accounting, and further studies are certainly warranted.…”

Section: Insights From the Theory Of Affordancesmentioning

confidence: 99%

Mandatory Disclosure of the Engagement Partner's Identity: Potential Benefits and Unintended Consequences

King

Davis

Mintchik

2012

Accounting Horizons

View full text Add to dashboard Cite

SYNOPSIS: This paper contributes to the deliberations on the potential consequences of requiring disclosure of the engagement partner's identity in the audit report. The PCAOB has recently suggested that this requirement will lead to enhanced audit quality due to increased engagement partner accountability and improved transparency of the audit process. The goal of our commentary is to examine this issue by considering factors that potentially affect audit quality in appearance and audit quality in fact, and applying insights from three distinct academic frameworks: source credibility, accountability, and the theory of affordances.While prior evidence from source credibility research implies that a mandatory signature will likely increase audit quality in appearance, its impact on audit quality in fact remains unclear. Academic literature suggests that increased accountability will increase audit effort but is silent on the associated increase in audit effectiveness. As a result, mandatory disclosure is likely to increase the risk of over-auditing because audit services have the essential characteristics of a credence good. As for an increase in audit quality in appearance, the question remains whether the current perception of audit quality is too low or too high. The increase in public perceptions of audit quality without an associated increase in actual quality is a desirable accomplishment only when public perception of quality is below actual audit quality. Otherwise, the measure increases the gap between delivered audit quality and public perceptions of it. We suggest specific research opportunities in this area.information users seek greater transparency about information source due to a legitimate desire to decrease uncertainty associated with information evaluation. The implication as applied to auditing is that disclosure of the engagement partner's identity will likely increase audit quality in appearance, as well as public confidence in the message content (audit report and associated financial statements). At the same time, greater transparency tempts decision makers to decrease cognitive effort and to rely mostly on the sender's attributes during information processing. The implications are that identifying the EP has the potential to increase the likelihood that investors will place unwarranted weight on the EP's characteristics and underweight the content of the audited financial statements. AccountabilityThis framework, which originated in social psychology, suggests that the positive impact of increased accountability is limited to problems caused by lack of effort rather than by lack of expertise or resources. Accountability-related studies also warn about decision makers' tendency to succumb to the audience's preferences by decreasing effort and independent data processing when reporting to an audience with known views. In an audit context, such a tendency will likely lead to more conservative risk-related judgments and expansive audit procedures, increasing audit costs, but not necessarily au...

show abstract

“…For example, commitment-to-change statements were found to have some impact on the effectiveness of CME. In CME, participants’ expression of the intent to change was more likely to result in a change in practice behavior [9,10]. …”

Section: Discussionmentioning

confidence: 99%

Evaluation of Scientific Programs at a Large-Scale Academic Congress: Lessons from the 22nd World Congress of Dermatology

Yoon

Kwon²,

Lee³

et al. 2012

Dermatology

View full text Add to dashboard Cite

Background: The organization of a scientific program and the arrangement of the speakers require a considerable amount of time and effort. However, little is known about how to reinforce the participants’ satisfaction with scientific programs at a large-scale academic congress with multiple parallel sessions. Objectives: This study had three main purposes: (1) to create a reference for future congresses, (2) to determine session popularity and participation rate, and (3) to identify which characteristics of sessions can affect the perception of the audience. Methods: A total of 216 scientific sessions during the 22nd World Congress of Dermatology were evaluated using printed evaluation surveys. Results: The average scores for all sessions and speakers were relatively high. There were significant differences in the numbers of total session scores, collected surveys and speakers for each session category. The number of speakers at each session was not related to the session results. It was found that among the three different session grades (excellent, fair and poor), the proportion of speakers of each grade especially contributed to the perceived quality of the poor-grade sessions. Conclusions: This survey will help to organize scientific sessions and improve the quality of academic congresses.

show abstract

Effects of a Signature on Rates of Change

Cited by 34 publications

References 0 publications

Theory in practice: Helping providers address depression in diabetes care *

Theory in practice: Helping providers address depression in diabetes care *

Mandatory Disclosure of the Engagement Partner's Identity: Potential Benefits and Unintended Consequences

Evaluation of Scientific Programs at a Large-Scale Academic Congress: Lessons from the 22nd World Congress of Dermatology

Contact Info

Product

Resources

About