Changing behaviour, ‘more or less’: Investigating whether there is a basis for designing different interventions for implementation and deimplementation.
type: CreativeWork
description: Background: The process of decreasing ineffective or harmful healthcare (deimplementation) may require different approaches than those used to promote uptake of new procedures (implementation) but research into different approaches is currently lacking. It has not been determined if there is a theoretical and evidence-based rationale for designing different interventions for implementation and de-implementation. Objectives: The objectives of this thesis were to: 1) Investigate whether there is a theoretical basis for identifying different mechanisms of change by which behaviour might increase versus decrease; 2) Assess whether predictors of health professional behaviour differ depending on whether behaviour was one clinicians should implement or behaviours clinicians should de-implement; and 3) Identify the Behaviour Change Techniques of published implementation and de-implementation interventions to determine if there is a difference between the techniques reported in these interventions. Methods: Study 1 used Critical Interpretive Synthesis to investigate whether a theoretical rationale exists for identifying different mechanisms of change by which interventions may work for implementation and de-implementation. Study 2 investigated whether the theoretical constructs commonly used to predict health professional behaviour differ based on whether the behaviours should be implemented or de-implemented. It was an exploratory study involving secondary analysis on 13 existing questionnaire datasets from a variety of healthcare professional groups in primary care settings in the United Kingdom and Canada. Study 3 involved the classification and frequency of Behaviour Change Techniques in implementation and de-implementation interventions from selected Cochrane Effective Practice and Organisation of Care systematic reviews. Findings from these three studies were interpreted using the concurrent triangulation approach to report on the key findings. Results: Operant Learnin…
abstract: Background: The process of decreasing ineffective or harmful healthcare (deimplementation) may require different approaches than those used to promote uptake of new procedures (implementation) but research into different approaches is currently lacking. It has not been determined if there is a theoretical and evidence-based rationale for designing different interventions for implementation and de-implementation. Objectives: The objectives of this thesis were to: 1) Investigate whether there is a theoretical basis for identifying different mechanisms of change by which behaviour might increase versus decrease; 2) Assess whether predictors of health professional behaviour differ depending on whether behaviour was one clinicians should implement or behaviours clinicians should de-implement; and 3) Identify the Behaviour Change Techniques of published implementation and de-implementation interventions to determine if there is a difference between the techniques reported in these interventions. Methods: Study 1 used Critical Interpretive Synthesis to investigate whether a theoretical rationale exists for identifying different mechanisms of change by which interventions may work for implementation and de-implementation. Study 2 investigated whether the theoretical constructs commonly used to predict health professional behaviour differ based on whether the behaviours should be implemented or de-implemented. It was an exploratory study involving secondary analysis on 13 existing questionnaire datasets from a variety of healthcare professional groups in primary care settings in the United Kingdom and Canada. Study 3 involved the classification and frequency of Behaviour Change Techniques in implementation and de-implementation interventions from selected Cochrane Effective Practice and Organisation of Care systematic reviews. Findings from these three studies were interpreted using the concurrent triangulation approach to report on the key findings. Results: Operant Learnin…
author: Patey, Andrea
keywords: R Medicine (General)
date published: 2016
date modified: 2026-07-24T01:39:30Z
provider: City University of London
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: City, University of London