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Transl Behav Med. 2017 Sep;7(3):603-614. doi: 10.1007/s13142-017-0526-9.

A multilevel modeling approach to examining the implementation-effectiveness relationship of a behavior change intervention for health care professional trainees.

Author information

1
School of Kinesiology & Health Studies, Queen's University, 28 Division Street, Kingston, Ontario, Canada. tomasone@queensu.ca.
2
Department of Kinesiology & Physical Education, McGill University, 475 Pine Avenue West, Montreal, Quebec, Canada.
3
Abilities Centre, 55 Gordon Street, Whitby, Ontario, Canada.
4
School of Health and Exercise Sciences, University of British Columbia, Arts Building ART339, 1147 Research Road, Kelowna, British Columbia, Canada.

Abstract

Changing Minds, Changing Lives, a seminar-mediated behavior change intervention, aims to enhance health care professionals' (HCPs') social cognitions for discussing leisure-time physical activity (LTPA) with patients with physical disabilities. This study examines which seminar implementation variables (presenter characteristics, delivery components) predict effectiveness using multilevel modeling. HCP trainees (n = 564) attended 24 seminars and completed Theory of Planned Behavior-based measures for discussing LTPA at pre-, post-, 1-month post-, and 6-months post-seminar. Implementation variables were extracted from presenter-completed questionnaires/checklists. Seminars presented by a HCP predicted positive changes in all cognitions pre-post but negative changes in attitudes and perceived behavioral control (PBC) over follow-up (ps < .05). The number of seminars the presenter had delivered predicted negative changes in attitudes and PBC during follow-up (ps < .001). Inclusion of audiovisual components predicted positive changes in attitudes pre-post (p < .001). Presenter characteristics may be "key ingredients" to educational interventions for HCPs; however, future studies should examine additional implementation variables.

KEYWORDS:

Educational intervention; Health care professional trainees; Implementation-effectiveness relationship; Multilevel modeling; Theory of planned behavior

PMID:
28924830
PMCID:
PMC5645294
DOI:
10.1007/s13142-017-0526-9
[Indexed for MEDLINE]
Free PMC Article

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