Understanding the stakeholders' intention to use economic decision-support tools: A cross-sectional study with the tobacco return on investment tool

K.L. Cheung, S.M.A.A. Evers, M. Hiligsmann, Z. Vokó, S. Pokhrel, T. Jones, C. Munoz, S.B. Wolfenstetter, J. Józwiak-Hagymásy, H. de Vries

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Scopus)

Abstract

Background: Despite an increased number of economic evaluations of tobacco control interventions, the uptake by stakeholders continues to be limited. Understanding the underlying mechanism in adopting such economic decision-support tools by stakeholders is therefore important. By applying the I-Change Model, this study aims to identify which factors determine potential uptake of an economic decision-support tool, i.e., the Return on Investment tool.

Methods: Stakeholders (decision-makers, purchasers of services/pharma products, professionals/service providers, evidence generators and advocates of health promotion) were interviewed in five countries, using an I-Change based questionnaire. MANOVA's were conducted to assess differences between intenders and non-intenders regarding beliefs. A multiple regression analysis was conducted to identify the main explanatory variables of intention to use an economic decision-support tool.

Findings: Ninety-three stakeholders participated. Significant differences in beliefs were found between non-intenders and intenders: risk perception, attitude, social support, and self-efficacy towards using the tool. Regression showed that demographics, pre motivational, and motivational factors explained 69% of the variation in intention.

Discussion: This study is the first to provide a theoretical framework to understand differences in beliefs between stakeholders who do or do not intend to use economic decision-support tools, and empirically corroborating the framework. This contributes to our understanding of the facilitators and barriers to the uptake of these studies. 

Original languageEnglish
Pages (from-to)46-54
Number of pages9
JournalHealth Policy
Volume120
Issue number1
DOIs
Publication statusPublished - 1 Jan 2016

Keywords

  • Health policy
  • Decision-support tool
  • Economic evaluations
  • Uptake
  • Tobacco control
  • SMOKING-CESSATION INTERVENTION
  • PRACTICE NURSES INTENTION
  • COST-EFFECTIVENESS
  • HEALTH
  • PREVENTION
  • DETERMINANTS
  • IMPLEMENT
  • EXAMPLE

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