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báo cáo khoa học: "Goal conflict, goal facilitation, and health professionals’ provision of physical activity advice in primary care: An exploratory prospective study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Goal conflict, goal facilitation, and health professionals’ provision of physical activity advice in primary care: An exploratory prospective study | Presseau et al. Implementation Science 2011 6 73 http www.implementationscience.eom content 6 1 73 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access Goal conflict goal facilitation and health professionals provision of physical activity advice in primary care An exploratory prospective study Justin Presseau1 Jill J Francis2 Neil C Campbell3 and Falko F Sniehotta1 Abstract 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 .