tailieunhanh - báo cáo khoa học: " Applying psychological theories to evidence-based clinical practice: identifying factors predictive of lumbar spine x-ray for low back pain in UK primary care practice"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Applying psychological theories to evidence-based clinical practice: identifying factors predictive of lumbar spine x-ray for low back pain in UK primary care practice | Grimshaw et al. Implementation Science 2011 6 55 http content 6 1 55 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access Applying psychological theories to evidence-based clinical practice identifying factors predictive of lumbar spine x-ray for low back pain in UK primary care practice Jeremy M Grimshaw 1 Martin P Eccles2 Nick Steen2 Marie Johnston3 Nigel B Pitts4 Liz Glidewell5 Graeme Maclennan6 Ruth Thomas6 Debbie Bonetti4 and Anne Walker6 Abstract Background Psychological models predict behaviour in a wide range of settings. The aim of this study was to explore the usefulness of a range of psychological models to predict the health professional behaviour referral for lumbar spine x-ray in patients presenting with low back pain by UK primary care physicians. Methods Psychological measures were collected by postal questionnaire survey from a random sample of primary care physicians in Scotland and north England. The outcome measures were clinical behaviour referral rates for lumbar spine x-rays behavioural simulation lumbar spine x-ray referral decisions based upon scenarios and behavioural intention general intention to refer for lumbar spine x-rays in patients with low back pain . Explanatory variables were the constructs within the Theory of Planned Behaviour TPB Social Cognitive Theory SCT Common Sense Self-Regulation Model CS-SRM Operant Learning Theory OLT Implementation Intention II Weinstein s Stage Model termed the Precaution Adoption Process PAP and knowledge. For each of the outcome measures a generalised linear model was used to examine the predictive value of each theory individually. Linear regression was used for the intention and simulation outcomes and negative binomial regression was used for the behaviour outcome. Following this theory level analysis a cross-theoretical construct analysis was conducted to investigate the combined predictive value of all individual constructs across theories. Results