目标冲突、目标促进与健康专业人员在初级保健中提供身体活动建议：一项探索性前瞻性研究。
Goal conflict, goal facilitation, and health professionals' provision of physical activity advice in primary care: an exploratory prospective study.
机构信息
Institute of Health and Society, Baddiley-Clark Building, Richardson Road, Newcastle University, Newcastle Upon Tyne, NE2 4AX, UK.
出版信息
Implement Sci. 2011 Jul 15;6:73. doi: 10.1186/1748-5908-6-73.
BACKGROUND
The theory of planned behaviour has well-evidenced utility in predicting health professional behaviour, but focuses on a single behaviour isolated from the numerous potentially conflicting and facilitating goal-directed behaviours performed alongside. Goal conflict and goal facilitation may influence whether health professionals engage in guideline-recommended behaviours, and may supplement the predictive power of the theory of planned behaviour. We hypothesised that goal facilitation and goal conflict contribute to predicting primary care health professionals' provision of physical activity advice to patients with hypertension, over and above predictors of behaviour from the theory of planned behaviour.
METHODS
Using a prospective predictive design, at baseline we invited a random sample of 606 primary care health professionals from all primary care practices in NHS Grampian and NHS Tayside (Scotland) to complete postal questionnaires. Goal facilitation and goal conflict were measured alongside theory of planned behaviour constructs at baseline. At follow-up six months later, participants self-reported the number of patients, out of those seen in the preceding two weeks, to whom they provided physical activity advice.
RESULTS
Forty-four primary care physicians and nurses completed measures at both time points (7.3% response rate). Goal facilitation and goal conflict improved the prediction of behaviour, accounting for substantial additional variance (5.8% and 8.4%, respectively) in behaviour over and above intention and perceived behavioural control.
CONCLUSIONS
Health professionals' provision of physical activity advice in primary care can be predicted by perceptions about how their conflicting and facilitating goal-directed behaviours help and hinder giving advice, over and above theory of planned behaviour constructs. Incorporating features of multiple goal pursuit into the theory of planned behaviour may help to better understand health professional behaviour.
背景
计划行为理论在预测健康专业人员行为方面具有良好的证据支持，但它侧重于从众多可能相互冲突和促进的目标导向行为中孤立出来的单一行为。目标冲突和目标促进可能会影响健康专业人员是否参与指南推荐的行为，并且可能补充计划行为理论的预测能力。我们假设目标促进和目标冲突有助于预测初级保健卫生专业人员向高血压患者提供身体活动建议，超出计划行为理论行为预测因子的预测能力。
方法
使用前瞻性预测设计，在基线时，我们邀请 NHS Grampian 和 NHS Tayside（苏格兰）所有初级保健实践中的 606 名初级保健卫生专业人员参加随机抽样，通过邮寄问卷完成。在基线时，同时测量了目标促进和目标冲突与计划行为理论的结构。在六个月后的随访中，参与者自我报告了在过去两周内看到的患者中，他们向多少人提供了身体活动建议。
结果
44 名初级保健医生和护士在两个时间点都完成了测量（7.3%的应答率）。目标促进和目标冲突改善了行为的预测，分别在意图和感知行为控制之外解释了行为的大量额外差异（分别为 5.8%和 8.4%）。
结论
可以通过对促进和阻碍提供建议的目标导向行为的帮助和阻碍的看法来预测初级保健中卫生专业人员提供身体活动建议的行为，超出了计划行为理论的结构。将多目标追求的特征纳入计划行为理论中可能有助于更好地理解健康专业人员的行为。
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