Paper-based and web-based intervention modeling experiments identified the same predictors of general practitioners' antibiotic-prescribing behavior
Shaun Treweek, Debbie Bonetti, Graeme Maclennan, Karen Barnett, Martin P Eccles, Claire Jones, Nigel B Pitts, Ian W Ricketts, Frank Sullivan, Mark Weal, Jill J Francis, Shaun Treweek, Debbie Bonetti, Graeme Maclennan, Karen Barnett, Martin P Eccles, Claire Jones, Nigel B Pitts, Ian W Ricketts, Frank Sullivan, Mark Weal, Jill J Francis
Abstract
Objectives: To evaluate the robustness of the intervention modeling experiment (IME) methodology as a way of developing and testing behavioral change interventions before a full-scale trial by replicating an earlier paper-based IME.
Study design and setting: Web-based questionnaire and clinical scenario study. General practitioners across Scotland were invited to complete the questionnaire and scenarios, which were then used to identify predictors of antibiotic-prescribing behavior. These predictors were compared with the predictors identified in an earlier paper-based IME and used to develop a new intervention.
Results: Two hundred seventy general practitioners completed the questionnaires and scenarios. The constructs that predicted simulated behavior and intention were attitude, perceived behavioral control, risk perception/anticipated consequences, and self-efficacy, which match the targets identified in the earlier paper-based IME. The choice of persuasive communication as an intervention in the earlier IME was also confirmed. Additionally, a new intervention, an action plan, was developed.
Conclusion: A web-based IME replicated the findings of an earlier paper-based IME, which provides confidence in the IME methodology. The interventions will now be evaluated in the next stage of the IME, a web-based randomized controlled trial.
Trial registration: ClinicalTrials.gov NCT01206738.
Keywords: Behavior change; Intervention development; Intervention modeling experiments; Prescribing; Primary care; Randomized controlled trials.
Copyright © 2014 Elsevier Inc. All rights reserved.
Source: PubMed