From intention to action: A systematic literature review of provider behaviour change‐focused interventions in physical health and behavioural health settings

Abstract

Rationale, aims and objectives: It is clear there are significant delays in the uptake of best practices as part of routine care in the healthcare system, yet there is conflicting evidence on how to specifically align provider behaviour with best practices. Method: We conducted a review of interventions utilized to change any aspect of provider behaviour. To extend prior research, studies were included in the present review if they had an active intervention targeting behaviour change of providers in health or behavioural-health settings and were published between 2001 and 2020. Results: Of 1547 studies, 44 met inclusion criteria. Of 44 studies identified, 28 studies utilized contextually relevant interventions (eg, tailored to a specific provider population). Twenty six interventions with a contextually relevant approach resulted in provider behaviour change. Conclusions: Findings are promising for encouraging provider behaviour change when interventions are tailored to be contextually relevant, as both singlecomponent and multifaceted interventions were successful when they were contextually relevant. It is critical to conduct additional research to ensure that providers sustain behaviour changes over a long-term beyond an intervention's implementation and evaluation period.

Information sharing in differences of sex development: The creation of a caregiver-support tool.

“…Our goals for the tool were to (1) increase frequency of health care provider information-sharing conversations with caregivers of children with a DSD and (2) improve the quality of those conversations by incorporating best practice components of disclosure interventions. Therefore, we designed the tool keeping in mind the literatures on both health care provider behavior change (Gupta et al, 2021) and models for health information disclosure (Greene et al, 2012; Rochat et al, 2013; Schulte et al, 2021). Both areas of literature highlight the importance of providing tailored, contextually relevant information as well as behavioral rehearsal to increase self-efficacy.…”

A Web-Based, Provider-Driven Mobile App to Enhance Patient Care Coordination Between Dialysis Facilities and Hospitals: Development and Pilot Implementation Study

“…Provider perceptions of lack of time in addition to usual clinical duties was an expected barrier in this pilot, given the new, untested nature of the system and the general challenges of affecting provider behavior change. Including multiple, active, and contextually relevant behavior change strategies, such as continuing education incentives, might help overcome this barrier [ 20 , 21 ]. In fact, we found that the barrier of perceived duplicated work effort was no longer identified as a barrier by participants at the end of the pilot study, suggesting that users may have dropped processes made obsolete by DialysisConnect (eg, phone calls).…”