Trial reportJournal of occupational rehabilitation2013
Changes in insurance physicians' attitudes, self-efficacy, intention, and knowledge and skills regarding the guidelines for depression, following an implementation strategy.
Trial report in Journal of occupational rehabilitation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Trial
- Training approaches for the dissemination of clinical guidelines for NSSI: a quasi-experimental trial.Child and adolescent psychiatry and mental health · 2024Article
- A Decision Aid to Support Vocational Rehabilitation Professionals Offering Tailored Care to Benefit Recipients with a Long-Term Work Disability: A Feasibility Study.Journal of occupational rehabilitation · 2024Article
- Usability and consistency in findings of the work support needs assessment tool.Work (Reading, Mass.) · 2021Article
- Article
- Context matters: A review to formulate a conceptual framework for coaching as a disability accommodation.PloS one · 2019Review
- A training programme facilitating guideline use of occupational health professionals: a feasibility study.BMC medical education · 2018Article
- Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators.International archives of occupational and environmental health · 2017Article
- Experiences and barriers to implementation of clinical practice guideline for depression in Korea.BMC psychiatry · 2013Article
- Measuring characteristics of individuals: An updated systematic review of instruments' psychometric properties.Implementation research and practiceReview
- Measuring implementation outcomes: An updated systematic review of measures' psychometric properties.Implementation research and practiceReview
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Authors and funding
4 authors.
Funding
Abstract
introductionTo improve guideline adherence by insurance physicians (IPs), an implementation strategy was developed and investigated in a randomized controlled trial. This implementation strategy involved a multifaceted training programme for a group of IPs in applying the guidelines for depression. In this study we report the impact of the implementation strategy on the physicians' attitude, intention, self-efficacy, and knowledge and skills as behavioural determinants of guideline adherence. Any links between these self-reported behavioural determinants and levels of guideline adherence were also determined.
methodsJust before and 3 months after the implementation of the multifaceted training, a questionnaire designed to measure behavioural determinants on the basis of the ASE (attitude, social norm, self-efficacy) model was completed by the intervention (n = 21) and the control group (n = 19). Items of the questionnaire were grouped to form scales of ASE determinants. Internal consistency of the scales was calculated using Cronbach's alphas. Differences between groups concerning changes in ASE determinants, and the association of these changes with improvements in guideline adherence, were analyzed using analysis of covariance.
resultsThe internal consistency of the scales of ASE determinants proved to be sufficiently reliable, with Cronbach's alphas of at least 0.70. At follow-up after 3 months, the IPs given the implementation strategy showed significant improvement over the IPs in the control group for all ASE determinants investigated. Changes in knowledge and skills were only weakly associated with improvements in guideline adherence.
conclusionsThe implementation strategy developed for insurance physicians can increase their attitude, intention, self-efficacy, and knowledge and skills when applying the guidelines for depression. These changes in behavioural determinants might indicate positive changes in IPs' behaviour towards the use of the guidelines for depression. However, only changes in knowledge and skills related to the use of the guidelines were associated with improvements in IPs' actual performance when applying the guidelines.
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