Doctors' use of clinical guidelines: Two applications of the Theory of Planned Behaviour

Physicians’ Knowledge of and Willingness to Prescribe Naloxone to Reverse Accidental Opiate Overdose: Challenges and Opportunities

“…The independent variables consisted of composite Likert scales representing the three major components of behavioral intention identified in the Theory of Planned Behavior (TPB): attitudes, subjective norms, and perceived control. 42 Because the original study was not focused on naloxone prescribing, we used the TPB in this analysis to identify important general factors associated with a willingness to consider providing overdose care to IDU patients as opposed to predicting the intention to prescribe naloxone. The items used to construct these scales were chosen by consensus of the authors from items in a larger study of health care and harm reduction.…”

“…30,42 As our study suggests, in order to impact physicians_ intention to prescribe naloxone, several different behavioral motivators must be addressed, including negative attitudes towards IDUs, pessimism in treating drug use, and fear of social or professional disapproval. Robust evidence has now established that harm reducing interventions like overdose prevention, better syringe access, and drug treatment do provide real health benefits to the IDU population and the broader community, including considerable savings in the use of public resources.…”

Psychosocial factors associated with the prescription of generic drugs

“…Regarding the ASE Model factors and taking into account the results of the multivariate analysis, the Attitudes and Motivations of doctors in Primary Care settings rather than Social Influences and Self-Efficacy appeared to have the greatest influence on GDP in Asturias. Limbert and Lamb [17] also found that clinicians' Attitudes had the greatest influence on appropriate prescription of antibiotics. Future interventions that aim to promote GDP should therefore focus on decreasing perceived disadvantages to perform GDP and increasing the perceived advantages.…”

“…More recently, these models have been used to gain greater insights into factors influencing clinician behaviour [9,[14][15][16][17][18]. Limbert and Lamb [17], for example, in their study of clinicians' appropriate prescription of antibiotics found that clinicians' Attitudes had the greatest influence on practice. Bunce and Birdi [15], on the other hand, reported that Social Influences had the greatest influence on clinicians' requests for hospital autopsies.…”

Assessing Correlations of Physicians' Practice Intensity and Certainty During Residency Training

“…The Core Self-Evaluation scale measures self-perceived ability (self-efficacy and self-esteem), neuroticism, and perception of locus of control with 12 questions using a 5-point scale that ranges from ''disagree strongly'' to ''agree strongly.'' 17 The theories of reasoned action and planned behavior 20 posit that many behaviors can be predicted by a person's intentions, 20,23,24 which are influ-…”