The effect of interprofessional education on healthcare providers' intentions to engage in interprofessional shared decision‐making: Perspectives from the theory of planned behaviour

Keshmiri, Fatemeh; Rezai, Mahdi; Tavakoli, Nader

doi:10.1111/jep.13379

Cited by 19 publications

(30 citation statements)

References 23 publications

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“…These results are aligned with those of a recent systematic review on patient's involvement in decision-making in non-western countries that highlighted the need for healthcare professional and patient training in SDM [7]. Patients lack of familiarity with their rights and their low health literacy were acknowledged as barriers in other Iranian studies, as well [23,26]. However, further studies are required regarding which training format could work best for healthcare professionals and patients in non-western countries such as Iran, and what are the impact of these trainings on SDM implementation in long term.…”

Section: Discussionsupporting

confidence: 82%

“…The second video showed two simulated consecutive prenatal follow-up consultations during which a pregnant woman, her partner, and a healthcare professional used a PtDA about Down Syndrome prenatal screening [21,22]. Other studies which, similarly, applied vignettes for explaining SDM, showed that healthcare professionals' knowledge and intention to engage in SDM has increased [23]. Fourth, participants completed a questionnaire evaluating the 12 domains of TDF.…”

Section: Workhop Implementationmentioning

confidence: 99%

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Continuing professional education of Iranian healthcare professionals in shared decision-making: lessons learned

Rahimi

Rodríguez

Croteau

et al. 2021

BMC Health Serv Res

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Background In this study, we sought to assess healthcare professionals’ acceptance of and satisfaction with a shared decision making (SDM) educational workshop, its impact on their intention to use SDM, and their perceived facilitators and barriers to the implementation of SDM in clinical settings in Iran. Methods We conducted an observational quantitative study that involved measurements before, during, and immediately after the educational intervention at stake. We invited healthcare professionals affiliated with Tabriz University of Medical Sciences, East Azerbaijan, Iran, to attend a half-day workshop on SDM in December 2016. Decisions about prenatal screening and knee replacement surgery was used as clinical vignettes. We provided a patient decision aid on prenatal screening that complied with the International Patient Decision Aids Standards and used illustrate videos. Participants completed a sociodemographic questionnaire and a questionnaire to assess their familiarity with SDM, a questionnaire based on theoretical domains framework to assess their intention to implement SDM, a questionnaire about their perceived facilitators and barriers of implementing SDM in their clinical practice, continuous professional development reaction questionnaire, and workshop evaluation. Quantitative data was analyzed descriptively and with multiple linear regression. Results Among the 60 healthcare professionals invited, 41 participated (68%). Twenty-three were female (57%), 18 were specialized in family and emergency medicine, or community and preventive medicine (43%), nine were surgeons (22%), and 14 (35%) were other types of specialists. Participants’ mean age was 37.51 ± 8.64 years with 8.09 ± 7.8 years of clinical experience. Prior to the workshop, their familiarity with SDM was 3.10 ± 2.82 out of 9. After the workshop, their belief that practicing SDM would be beneficial and useful (beliefs about consequences) (beta = 0.67, 95% CI 0.27, 1.06) and beliefs about capability of using SDM (beta = 0.32, 95% CI -0.08, 0.72) had the strongest influence on their intention of practicing SDM. Participants perceived the main facilitator and barrier to perform SDM were training and high patient load, respectively. Conclusions Participants thought the workshop was a good way to learn SDM and that they would be able to use what they had learned in their clinical practice. Future studies need to study the level of intention of participants in longer term and evaluate the impact of cultural differences on practicing SDM and its implementation in both western and non-western countries.

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Section: Discussionsupporting

confidence: 82%

Section: Workhop Implementationmentioning

confidence: 99%

Continuing professional education of Iranian healthcare professionals in shared decision-making: lessons learned

Rahimi

Rodríguez

Croteau

et al. 2021

BMC Health Serv Res

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“…With the help of the theory of planned behaviour (TPB), researchers have conducted multiple studies in identifying why and how a consumer can behave sustainably (Johnstone and Lindh, 2018; Giampietri et al , 2018; Judge et al , 2019). They have provided empirical evidence for the relationship between attitude, subjective norms and perceived controlled behaviour of consumers (Keshmiri et al , 2020). So, the two approaches that deal with the understanding of consumer behaviour i.e.…”

mentioning

confidence: 99%

Conceptualisation of sustainable consumer behaviour: converging the theory of planned behaviour and consumption cycle

Sheoran

Kumar

2021

QROM

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PurposeThis article attempts to explore the theoretical model and structural dimensions of sustainable consumer behaviour to develop a “sustainable consumer behaviour scale” for sustainable electronic products. Further, this study has tried to elaborate sustainable consumer behaviour by considering the complete consumption cycle which includes purchase, usage and disposal of the sustainable electronic products.Design/methodology/approachThe theory of planned behaviour (TPB) has been employed to understand the multidimensional nature of sustainable consumer behaviour with the help of qualitative and quantitative methods. With the help of a pilot study followed by a main study, a sustainable consumer behaviour scale for sustainable electronic products has been tested and validated for its factor study, reliability, validity and model fit, etc. Moreover, the influence of demographic variables has also been examined with the help of multi-group analysis.FindingsThis study highlights that the perceived control behaviour and subjective norms are the major factors that influence sustainable consumer behaviour. Moreover, the results also indicate that female consumers, mid income consumers, young consumers (age below 30) and consumers who have studied up to senior secondary level are more sustainable.Research limitations/implicationsThe results can be used by policymakers and managers to identify and target particular subjective norms and factors impacting perceived control behaviour along with a specific set of demographics to increase sustainability amongst consumers and businesses. The results of the current study can help in increasing the focus of the academic research towards sustainable consumer behaviour. It will also encourage firms to include sustainable electronic products in their product line.Originality/valueTo the best of authors' knowledge, the current article is the first empirical study to develop a sustainable consumer behaviour scale by including all the different stages of the consumption cycle using TPB for sustainable electronic products. Although multiple efforts have been made by researchers to analyse sustainable consumer behaviour, there is a scarcity in literature in which research has been done to analyse sustainable consumer behaviour by considering the whole consumption cycle (purchase, usage and disposal).

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“…Of all the studies, 69% (36/52) were published between 2019 and 2021 [ 9 , 32 - 68 ]. Furthermore, 58% (30/52) were located in Canada [ 7 , 8 , 10 - 12 , 23 - 25 , 28 , 31 , 35 , 38 - 41 , 44 - 51 , 53 , 54 , 56 , 60 , 63 , 65 , 67 ] and the rest in the United States (n=6), the United Kingdom (n=4), Australia (n=2) [ 30 , 34 ], Iran (n=2) [ 55 , 64 ], Argentina (n=1) [ 52 ], Indonesia (n=1) [ 32 ], Germany (n=1) [ 58 ], Sweden (n=1) [ 21 ], the Netherlands (n=1) [ 59 ], and Burkina Faso (n=1) [ 37 ]. In addition, two multicountry studies were reported: 1 from Brazil-China-France-Japan-Mali [ 68 ] and 1 from Canada-Vietnam [ 19 ] ( Table 1 ; Figure 2 ).…”

Section: Resultsmentioning

confidence: 99%

Use of the CPD-REACTION Questionnaire to Evaluate Continuing Professional Development Activities for Health Professionals: Systematic Review

Ayivi-Vinz¹,

Kanyinga²,

Bergeron³

et al. 2022

JMIR Med Educ

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Background Continuing professional development (CPD) is essential for physicians to maintain and enhance their knowledge, competence, skills, and performance. Web-based CPD plays an essential role. However, validated theory–informed measures of their impact are lacking. The CPD-REACTION questionnaire is a validated theory–informed tool that evaluates the impact of CPD activities on clinicians’ behavioral intentions. Objective We aimed to review the use of the CPD-REACTION questionnaire, which measures the impact of CPD activities on health professionals’ intentions to change clinical behavior. We examined CPD activity characteristics, ranges of intention, mean scores, score distributions, and psychometric properties. Methods We conducted a systematic review informed by the Cochrane review methodology. We searched 8 databases from January 1, 2014, to April 20, 2021. Gray literature was identified using Google Scholar and Research Gate. Eligibility criteria included all health care professionals, any study design, and participants’ completion of the CPD-REACTION questionnaire either before, after, or before and after a CPD activity. Study selection, data extraction, and study quality evaluation were independently performed by 2 reviewers. We extracted data on characteristics of studies, the CPD activity (eg, targeted clinical behavior and format), and CPD-REACTION use. We used the Mixed Methods Appraisal Tool to evaluate the methodological quality of the studies. Data extracted were analyzed using descriptive statistics and the Student t test (2-tailed) for bivariate analysis. The results are presented as a narrative synthesis reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Results Overall, 65 citations were eligible and referred to 52 primary studies. The number of primary studies reporting the use of CPD-REACTION has increased continuously since 2014 from 1 to 16 publications per year (2021). It is available in English, French, Spanish, and Dutch. Most of the studies were conducted in Canada (30/52, 58%). Furthermore, 40 different clinical behaviors were identified. The most common CPD format was e-learning (34/52, 65%). The original version of the CPD-REACTION questionnaire was used in 31 of 52 studies, and an adapted version in 18 of 52 studies. In addition, 31% (16/52) of the studies measured both the pre- and postintervention scores. In 22 studies, CPD providers were university-based. Most studies targeted interprofessional groups of health professionals (31/52, 60%). Conclusions The use of CPD-REACTION has increased rapidly and across a wide range of clinical behaviors and formats, including a web-based format. Further research should investigate the most effective way to adapt the CPD-REACTION questionnaire to a variety of clinical behaviors and contexts. Trial Registration PROSPERO CRD42018116492; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=116492

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The effect of interprofessional education on healthcare providers' intentions to engage in interprofessional shared decision‐making: Perspectives from the theory of planned behaviour

Cited by 19 publications

References 23 publications

Continuing professional education of Iranian healthcare professionals in shared decision-making: lessons learned

Continuing professional education of Iranian healthcare professionals in shared decision-making: lessons learned

Conceptualisation of sustainable consumer behaviour: converging the theory of planned behaviour and consumption cycle

Use of the CPD-REACTION Questionnaire to Evaluate Continuing Professional Development Activities for Health Professionals: Systematic Review

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