Web-based planning intervention to improve the uptake of diabetes UK information prescriptions in clinicians
AbstractBackground: Interventions aimed at changing clinical behaviours to improve healthcare quality typically focus on a single behaviour and on change strategies targeting a reflective path to behaviour change. We developed an intervention for clinical behaviour change based on a dual process and multiple goal approach to test whether an action and/or coping planning intervention could support clinicians in implementing a new self-management advice tool into routine care—the Diabetes UK information prescription. Methods: Clinicians were invited to participate via a routinely delivered e-newsletter. Participating clinicians were randomised in a 2 x 2 factorial design to receive a web-based intervention delivered via volitional help sheets: an action planning and/or a coping planning intervention, or neither, designed to facilitate delivery of the tool. Clinicians were asked to complete self-reported measures of their use of the tool at baseline and follow-up. What went wrong: 1,600 clinicians were invited to take part and participants had the opportunity to win an iPad. However, only 2 clinicians responded and the study failed to reach recruitment targets. Possible solutions: Reasons for lack of participation may include: lack of awareness of the tool, lack of engagement with the invitation and/or insufficient incentivisation. Recruitment rates could be improved by raising awareness of the tool and by embedding trials within existing infrastructures including continuing professional development events. Conclusions: Our findings suggest that interventions aimed at improving the uptake of self-management tools should ensure that clinicians are aware and given access to such tools and that effective recruitment strategies are utilised.
Copyright (c) 2017 S. Potthoff, F. Sniehotta, A. Rylance, L. Avery, J. Presseau
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