Potential determinants of health-care professionals' use of survivorship care plans: a qualitative study using the theoretical domains framework.
Potential determinants of health-care professionals' use of survivorship care plans: a qualitative study using the theoretical domains framework.
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DOI：
10.1186/s13012-014-0167-z
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发表时间：
2014-11-15
期刊：
影响因子：
--
通讯作者：
Mayer DK
中科院分区：
文献类型：
--
作者：
Birken SA;Presseau J;Ellis SD;Gerstel AA;Mayer DK
幸存者护理计划旨在改善美国近1400万癌症幸存者的护理协调。有证据表明，幸存者护理计划（SCP）对幸存者、医疗保健专业人员和癌症项目有积极的效果，一些知名组织现在建议使用SCP。尽管如此，SCP的使用在美国癌症项目的卫生保健专业人员中仍然有限。对SCP使用障碍的了解是有限的，部分原因是现有的研究使用了轶事证据来确定决定因素。本研究使用的理论域框架，以确定相关的结构，是潜在的决定因素，SCP使用之间的美国医疗保健专业人员。我们进行了半结构化访谈，以评估12个理论领域的相关性，在预测SCP的使用在13个医疗保健专业人员在7个癌症项目在美国各地不同的特点。相关的理论领域，通过主题编码的采访成绩单，识别特定的信念内的编码文本单元，并映射到理论结构的特定信念。我们发现了以下理论领域（基于特定信念）是SCP用途：卫生保健专业人员对SCP使用后果的信念（对幸存者、卫生保健专业人员和整个系统的益处）;关于SCP使用的动机和目标（提倡SCP的使用; SCP的使用在多大程度上占用了卫生保健专业人员的时间）;环境背景和资源（SCP是否在专门访问中提供，系统、信息技术和资金是否促进SCP的使用）;和社会影响（使用SCP是否是组织的优先事项，有影响力的人是否支持SCP的使用，以及可以帮助SCP使用的人是否购买SCP）。具体的信念映射到以下心理结构：结果预期，内在动机，目标优先，资源，领导力和团队合作。以前的研究探索了SCP使用的有限范围的决定因素。我们的研究结果提出了一个更全面的潜在决定因素列表，可以用来促进SCP的使用。这些结果特别及时，因为癌症项目面临即将到来的SCP使用要求。未来的工作应该开发工具来衡量潜在的决定因素并评估它们对SCP使用的相对影响。本文的在线版本（doi：10.1186/s13012-014-0167-z）包含补充材料，可供授权用户使用。
Survivorship care plans are intended to improve coordination of care for the nearly 14 million cancer survivors in the United States. Evidence suggests that survivorship care plans (SCPs) have positive outcomes for survivors, health-care professionals, and cancer programs, and several high-profile organizations now recommend SCP use. Nevertheless, SCP use remains limited among health-care professionals in United States cancer programs. Knowledge of barriers to SCP use is limited in part because extant studies have used anecdotal evidence to identify determinants. This study uses the theoretical domains framework to identify relevant constructs that are potential determinants of SCP use among United States health-care professionals. We conducted semi-structured interviews to assess the relevance of 12 theoretical domains in predicting SCP use among 13 health-care professionals in 7 cancer programs throughout the United States with diverse characteristics. Relevant theoretical domains were identified through thematic coding of interview transcripts, identification of specific beliefs within coded text units, and mapping of specific beliefs onto theoretical constructs. We found the following theoretical domains (based on specific beliefs) to be potential determinants of SCP use: health-care professionals’ beliefs about the consequences of SCP use (benefit to survivors, health-care professionals, and the system as a whole); motivation and goals regarding SCP use (advocating SCP use; extent to which using SCPs competed for health-care professionals’ time); environmental context and resources (whether SCPs were delivered at a dedicated visit and whether a system, information technology, and funding facilitated SCP use); and social influences (whether using SCPs is an organizational priority, influential people support SCP use, and people who could assist with SCP use buy into using SCPs). Specific beliefs mapped onto the following psychological constructs: outcome expectancies, intrinsic motivation, goal priority, resources, leadership, and team working. Previous studies have explored a limited range of determinants of SCP use. Our findings suggest a more comprehensive list of potential determinants that could be leveraged to promote SCP use. These results are particularly timely as cancer programs face impending SCP use requirements. Future work should develop instruments to measure the potential determinants and assess their relative influence on SCP use. The online version of this article (doi:10.1186/s13012-014-0167-z) contains supplementary material, which is available to authorized users.
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
DOI：
10.1186/1748-5908-6-42
发表时间：
2011-04-23
期刊：
Implementation science : IS
影响因子：
--
作者：
Michie S;van Stralen MM;West R
通讯作者：
West R
DOI：
10.1186/1748-5908-7-93
发表时间：
2012-09-21
期刊：
Implementation science : IS
影响因子：
--
作者：
Islam R;Tinmouth AT;Francis JJ;Brehaut JC;Born J;Stockton C;Stanworth SJ;Eccles MP;Cuthbertson BH;Hyde C;Grimshaw JM
通讯作者：
Grimshaw JM
DOI：
10.1007/s13187-014-0645-7
发表时间：
2014-12
期刊：
Journal of cancer education : the official journal of the American Association for Cancer Education
影响因子：
--
作者：
Birken SA;Deal AM;Mayer DK;Weiner BJ
通讯作者：
Weiner BJ
影响因子：
7.2
作者：
Duncan, Eilidh M.;Francis, Jill J.;Bond, Christine
通讯作者：
Bond, Christine