Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Assessing implementation difficulties in tobacco use prevention and cessation counselling among dental providers | Amemori et al. Implementation Science 2011 6 50 http content 6 1 50 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access Assessing implementation difficulties in tobacco use prevention and cessation counselling among dental providers Masamitsu Amemori1 Susan Michie2 Tellervo Korhonen3 Heikki Murtomaa1 and Taru H Kinnunen4 Abstract Background Tobacco use adversely affects oral health. Clinical guidelines recommend that dental providers promote tobacco abstinence and provide patients who use tobacco with brief tobacco use cessation counselling. Research shows that these guidelines are seldom implemented however. To improve guideline adherence and to develop effective interventions it is essential to understand provider behaviour and challenges to implementation. This study aimed to develop a theoretically informed measure for assessing among dental providers implementation difficulties related to tobacco use prevention and cessation TUPAC counselling guidelines to evaluate those difficulties among a sample of dental providers and to investigate a possible underlying structure of applied theoretical domains. Methods A 35-item questionnaire was developed based on key theoretical domains relevant to the implementation behaviours of healthcare providers. Specific items were drawn mostly from the literature on TUPAC counselling studies of healthcare providers. The data were collected from dentists n 73 and dental hygienists n 22 in 36 dental clinics in Finland using a web-based survey. Of 95 providers 73 participated . We used Cronbach s alpha to ascertain the internal consistency of the questionnaire. Mean domain scores were calculated to assess different aspects of implementation difficulties and exploratory factor analysis to assess the theoretical domain structure. The authors agreed on the labels assigned to the factors on the basis of their component domains and the broader behavioural and theoretical literature. .
