Application of the Theoretical Domains Framework and the Behaviour Change Wheel to Understand Physicians’ Behaviors and Behavior Change in Using Temporary Work Modifications for Return to Work: A Qualitative Study

Horppu, Ritva; Martimo, Kari-Pekka; MacEachen, Ellen; Lallukka, Tea; Viikari‐Juntura, Eira

doi:10.1007/s10926-017-9706-1

Cited by 20 publications

(15 citation statements)

References 48 publications

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“…Behavioral interventions utilizing the BCW showed promising results that elicited desirable changes in providers. The success of the BCW comes with its primary goal to evaluate the intervention thoroughly before execution, such as identifying participant motivations and barriers [9,10,12]. Providers that utilized CDSS programs were more likely to adhere to the guidelines and improved prescribing practices.…”

Section: Discussionmentioning

confidence: 99%

“…Another 4 studies tested CDSS programs or modules and measured the frequency of guideline adherence or changes in provider behavior [1,4,6,7]. A total of 7 studies discuss intrinsic or extrinsic factors in healthcare that influence provider motivation [2,8,[10][11][12][13][14].…”

Section: Figure 2: Behavior Change Wheelmentioning

confidence: 99%

“…Action planning increased the likelihood that a provider could realistically implement the behavioral intervention in their own clinic [12]. COM-B allowed for researchers to identify the motivations and capabilities of their cohort before designing the intervention [9,10]. Identifying the motivations of individuals was important in enabling providers to elicit the desired behavior [9,10,12].…”

Section: Com-b Approachmentioning

confidence: 99%

“…Providing financial incentives led to an increase in the quality of care [11,14]. Addressing external factors, such as lack of experience with procedures, or environmental structuring of healthcare professionals in teams, can influence international motivation and thus performance [2,8,10,12,13]. Organizations that implement audit and feedback programs observe a modest increase in desired behaviors [11].…”

Section: Factors Influencing Motivationmentioning

confidence: 99%

“…The underlying hypothesis is that there is a relationship between one's capability (C), opportunity (O), and motivation (M) which explains why a behavior (B) is or is not observed (COM-B) [9]. COM-B could be used to investigate factors that elicit the desired behavior and therefore develop an effective intervention based on clinical context [10].…”

Section: Introductionmentioning

confidence: 99%

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Instant Gratification as a Method to Promote Physician Practice Guideline Adherence: A Systematic Review

Deo

Johnson

Kancharla

et al. 2020

Cureus

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Inadequate adherence to best practice guidelines may have a negative impact on the processes of critical care and patient outcomes. Instant gratification has been used to modify human behavior in industries such as gaming, lottery, and social media. We hypothesize that, if properly and purposefully utilized, IG can become a successful tool for encouraging best practice guideline adherence among critical care providers. Four major databases were searched with a medial librarian. Covidence application was used to identify studies pertaining to the instant gratification being used to improve provider adherence with best practice guidelines. A total of 712 studies were identified, and, through duplicates removal, title and abstract screening, and full-text screening, a total of 13 studies were included in the final review. The exclusion criteria used included the following: no provider gratification, wrong focus/intervention, wrong study design, patient-focused intervention, not generalizable, and no conclusion. There is a knowledge gap regarding instant gratification utilization to influence practice guideline adherence among providers. The intervention functions of the Behavior Change Wheel (BCW) were evident, especially 'persuasion' and 'incentivization', which are most pertinent to our field. The restorative process that promotes positive reinforcement can be a potential solution for alleviating inadequacies in guideline adherence. Examining interventions based on functions of the BCW has shown that an instant gratification process may have the potential in altering critical care providers' behavior and improving guideline adherence. This review is the first step towards creating smart algorithms to instantly alert providers for their actions compliant with best practices. Developing, testing, and validating the algorithms will be the next several steps.

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Section: Discussionmentioning

confidence: 99%

Section: Figure 2: Behavior Change Wheelmentioning

confidence: 99%

Section: Com-b Approachmentioning

confidence: 99%

Section: Factors Influencing Motivationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Instant Gratification as a Method to Promote Physician Practice Guideline Adherence: A Systematic Review

Deo

Johnson

Kancharla

et al. 2020

Cureus

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The PBC model: promoting positive behaviours through change-based interventions

Adewoyin,

Wesson,

Vogts

2024

Cogn Tech Work

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Why Do Employers (Fail to) Hire People with Disabilities? A Systematic Review of Capabilities, Opportunities and Motivations

et al. 2023

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Purpose To increase the number of people with disabilities in employment, we need to understand what influences employers’ hiring decisions. In this systematic review, we map out factors affecting employers’ hiring decisions about people with disabilities. Methods This study is a systematic review that applies the COM-B model to identify factors that contribute to employers (not) hiring people with disabilities. The COM-B model proposes that employers will perform hiring behavior (B) if they have the capability (C), opportunity (O) and motivation (M) to do so. We also investigate if factors have a negative, positive or no effect. We report in accordance with the PRISMA guidelines. Results In a review of 47 studies, we find 32 factors. Most of these factors are barriers. The most frequently mentioned barriers are employers’ (1) expectations that people with disabilities are unproductive, (2) expectations that people with disabilities cost a lot of money, and employers’ (3) lack of knowledge about disabilities. The most researched facilitators for employers to hire people with disabilities include (1) the motivation to help others, (2) working in a large organization, and (3) expecting a competitive advantage. The effect of factors can differ depending on contextual circumstances, including the type of organization, the type of disability and different policies. Conclusions We conclude that hiring decisions are influenced by an array of different barriers and facilitators. The effect of these factors can differ across organizations and disability types. Our study of factors affecting hiring can be used by scholars, policy makers, and organizations to create interventions to increase the hiring of people with disabilities.

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Application of the Theoretical Domains Framework and the Behaviour Change Wheel to Understand Physicians’ Behaviors and Behavior Change in Using Temporary Work Modifications for Return to Work: A Qualitative Study

Cited by 20 publications

References 48 publications

Instant Gratification as a Method to Promote Physician Practice Guideline Adherence: A Systematic Review

Instant Gratification as a Method to Promote Physician Practice Guideline Adherence: A Systematic Review

The PBC model: promoting positive behaviours through change-based interventions

Why Do Employers (Fail to) Hire People with Disabilities? A Systematic Review of Capabilities, Opportunities and Motivations

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