Observational studyImplementation science : IS2017
Planning to be routine: habit as a mediator of the planning-behaviour relationship in healthcare professionals.
Observational study in Implementation science : IS, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
37 citing papers in PubMed, 5 syntheses or guidelines pooled it, 86 citations in OpenAlex.
- How well do critical care audit and feedback interventions adhere to best practice? Development and application of the REFLECT-52 evaluation tool.Implementation science : IS · 2021Pooled it
- Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework.Implementation science : IS · 2021Pooled it
- Nudge strategies to improve healthcare providers' implementation of evidence-based guidelines, policies and practices: a systematic review of trials included within Cochrane systematic reviews.Implementation science : IS · 2020Pooled it
- A systematic review of empirical studies examining mechanisms of implementation in health.Implementation science : IS · 2020Pooled it
- Interventions to Promote Healthy Eating, Physical Activity and Smoking in Low-Income Groups: a Systematic Review with Meta-Analysis of Behavior Change Techniques and Delivery/Context.International journal of behavioral medicine · 2018Pooled it
- Implementing pragmatic case finding to address alcohol use in general practice: a mixed methods feasibility study.Scandinavian journal of primary health care · 2026Trial
- The influence of a blended, theoretically-informed pre-implementation strategy on school-based clinician implementation of an evidence-based trauma intervention.Implementation science : IS · 2019Trial
- Prospective Associations of Behavioural and Organisational Factors with Initial Nursing Diagnosis Use: A Longitudinal Study.Nursing reports (Pavia, Italy) · 2026Article
- Habit Formation to Enhance Implementation of Evidence-based Practice.Administration and policy in mental health · 2026Review
- From Habit to Justification: A Dual Process Theory Approach to Primary Care Bypassing in China.Health care analysis : HCA : journal of health philosophy and policy · 2026Article
- Applying behaviour change science to change motivational interaction in physical activity and sports professionals: stepwise development and acceptability pre-test of the MotiStyleSport intervention.Health psychology and behavioral medicine · 2026Article
- Transferring social-cognitive theories from individuals to healthcare professionals: a useful but simplified lens on clinical practice.Frontiers in health services · 2026Article
- The theory behind the strategies: interpreting the expert recommendations for implementing change taxonomy through four behavioural lenses.Frontiers in health services · 2026Article
- The engagement equation: a model for understanding what drives voluntary physician engagement with data-driven clinical performance feedback.Implementation science communications · 2025Article
- Enhancing pharmacists' engagement and collaboration in sport and exercise medicine: An intervention mapping study using the behaviour change wheel.Exploratory research in clinical and social pharmacy · 2025Article
- Enhancing implementation of information and communication technologies for post-discharge care among hospitalized older adult patients: development of a multifaceted implementation intervention package using the behavior change wheel and implementation research logic model.Implementation science communications · 2025Article
- The combined application of hand hygiene and non-sterile gloves by nurses in a tertiary hospital: a multi methods study.Antimicrobial resistance and infection control · 2024Article
- Habits and Reflective Processes in COVID-19 Transmission-reducing Behaviors: Examining Theoretical Predictions in a Representative Sample of the Population of Scotland.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023Article
- Health action process approach: promoting physical activity, and fruit and vegetable intake among Australian adults.Health promotion international · 2023Article
- Promoting Physical Activity among Working Women: The Influence of Perceived Policy Effectiveness and Health Awareness.International journal of environmental research and public health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
Abstract
backgroundGaps in the quality of care provided to people with type 2 diabetes are regularly identified. Healthcare professionals often have a strong intention to follow practice guidelines during consultations with people with type 2 diabetes; however, this intention does not always translate into action. Action planning (planning when, where and how to act) and coping planning (planning how to overcome pre-identified barriers) have been hypothesised to help with the enactment of intentions by creating mental cue-response links that promote habit formation. This study aimed to investigate whether habit helps to better understand how action and coping planning relate to clinical behaviour in the context of type 2 diabetes care.
methodsThe study utilised a prospective correlational design with six nested sub-studies. General practitioners and practice nurses (n = 427 from 99 UK primary care practices) completed measures of action planning, coping planning and habit at baseline and then self-reported their enactment of guideline-recommended advising, prescribing and examining behaviours 12 months later. Bootstrapped mediation analyses were used to test the indirect effect of action and coping planning on healthcare professionals' clinical behaviour via their relationship with habit.
resultsHealthcare professionals who reported higher degrees of action or coping planning for performing six guideline recommended behaviours in the context of type 2 diabetes care were more likely to report performing these behaviours in clinical practice. All 12 bootstrapped mediation analyses showed that the positive relationship between planning (action and coping planning) and healthcare professionals' clinical behaviour operated indirectly through habit.
conclusionsThese findings suggest that habit mediates the relationship between planning (action and coping planning) and healthcare professional behaviour. Promoting careful action and coping planning may support routinised uptake of guideline-recommended care by healthcare professionals in the primary care setting. Given the competing demands on healthcare professionals, exploring the behavioural processes involved in promoting more routinisation of behaviours where possible and appropriate could free up cognitive capacity for clinical behaviours that rely on more deliberation.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.