TY - JOUR
T1 - Perceived facilitating and limiting factors for healthcare professionals to adopting a patient decision aid for breast cancer aftercare
T2 - A cross-sectional study
AU - Klaassen, Linda A.
AU - Friesen-Storms, Jolanda H. H. M.
AU - Bours, Gerrie J. J. W.
AU - Dirksen, Carmen D.
AU - Boersma, Liesbeth J.
AU - Hoving, Ciska
N1 - Funding Information:
Rhis research was supported by Alpe d'HuZes (Dutch Cancer Society: KWF MAC 2014-7024) and Netherlands Organisation for Scientific Research doctoral grant for teachers [grant number. 023.002.031].
Funding Information:
Rhis research was supported by Alpe d’HuZes (Dutch Cancer Society: KWF MAC 2014-7024) and Netherlands Organisation for Scientific Research doctoral grant for teachers [grant number. 023.002.031 ].
Publisher Copyright:
© 2019
PY - 2020/1
Y1 - 2020/1
N2 - Objective: Effective healthcare innovations are often not adopted and implemented. An implementation strategy based on facilitators and barriers for use as perceived by healthcare professionals could increase adoption rates. This study therefore aimed to identify the most relevant facilitators and barriers for use of an innovative breast cancer aftercare decision aid (PtDA) in healthcare practice.Methods: Facilitators and barriers (related to the PtDA, adopter and healthcare organisation) were assessed among breast cancer aftercare health professionals (n = 81), using the MIDI questionnaire. For each category, a backward regression analysis was performed (dependent = intention to adopt). All significant factors were then added to a final regression analysis to identify to most relevant determinants of PtDA adoption.Results: Expecting higher compatibility with daily practice and clinical guidelines, more positive outcomes of use, higher perceived relevance for the patient and increased self-efficacy were significantly associated with a higher intention to adopt. Self-efficacy and perceived patient relevance remained significant in the final model.Conclusions: Low perceived self-efficacy and patient relevance are the most important barriers for health professions to adopt a breast cancer aftercare PtDA.Practice implications: To target self-efficacy and perceived patient relevance, the implementation strategy could apply health professional peer champions. (c) 2019 Published by Elsevier B.V.
AB - Objective: Effective healthcare innovations are often not adopted and implemented. An implementation strategy based on facilitators and barriers for use as perceived by healthcare professionals could increase adoption rates. This study therefore aimed to identify the most relevant facilitators and barriers for use of an innovative breast cancer aftercare decision aid (PtDA) in healthcare practice.Methods: Facilitators and barriers (related to the PtDA, adopter and healthcare organisation) were assessed among breast cancer aftercare health professionals (n = 81), using the MIDI questionnaire. For each category, a backward regression analysis was performed (dependent = intention to adopt). All significant factors were then added to a final regression analysis to identify to most relevant determinants of PtDA adoption.Results: Expecting higher compatibility with daily practice and clinical guidelines, more positive outcomes of use, higher perceived relevance for the patient and increased self-efficacy were significantly associated with a higher intention to adopt. Self-efficacy and perceived patient relevance remained significant in the final model.Conclusions: Low perceived self-efficacy and patient relevance are the most important barriers for health professions to adopt a breast cancer aftercare PtDA.Practice implications: To target self-efficacy and perceived patient relevance, the implementation strategy could apply health professional peer champions. (c) 2019 Published by Elsevier B.V.
KW - Intention to adopt
KW - Patient decision aid
KW - Breast cancer aftercare
KW - Healthcare professionals
KW - IMPLEMENTATION
KW - DETERMINANTS
KW - BARRIERS
KW - DIFFUSION
U2 - 10.1016/j.pec.2019.07.024
DO - 10.1016/j.pec.2019.07.024
M3 - Article
C2 - 31471071
SN - 0738-3991
VL - 103
SP - 145
EP - 151
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 1
ER -