Patient Education and Counseling
Volume 78, Issue 2 , Pages 169-176 , February 2010

The theory of planned behaviour in a randomized trial of a decision aid on cardiovascular risk prevention

  • Tanja Krones

      Affiliations

    • Department of Family Practice, University of Marburg, Germany & Bioethics-Clinical Ethics, University of Marburg, Baldingerstrasse, 35033 Marburg, Germany
    • Corresponding Author InformationCorresponding author. Tel.: +49 6421 5866487; fax: +49 6421 5866585.
  • ,
  • Heidemarie Keller

      Affiliations

    • Department of Family Practice, University of Marburg, Germany & Bioethics-Clinical Ethics, University of Marburg, Baldingerstrasse, 35033 Marburg, Germany
  • ,
  • Annette Becker

      Affiliations

    • Department of Family Practice, University of Marburg, Germany & Bioethics-Clinical Ethics, University of Marburg, Baldingerstrasse, 35033 Marburg, Germany
  • ,
  • Andreas Sönnichsen

      Affiliations

    • Department of Family Practice, University of Salzburg, Austria
  • ,
  • Erika Baum

      Affiliations

    • Department of Family Practice, University of Marburg, Germany & Bioethics-Clinical Ethics, University of Marburg, Baldingerstrasse, 35033 Marburg, Germany
  • ,
  • Norbert Donner-Banzhoff

      Affiliations

    • Department of Family Practice, University of Marburg, Germany & Bioethics-Clinical Ethics, University of Marburg, Baldingerstrasse, 35033 Marburg, Germany

Received 23 September 2008 ,Revised 29 June 2009 ,Accepted 29 June 2009.

References 

  1. O’Connor AM, Stacey D, Entwistle V, Llewellyn-Thomas H, Rovner D, Holmes-Rovner M, Tait V, Tetroe J, Fiset V, Barry M, Jones J. Decision aids for people facing health treatment or screening decisions [Cochrane Review]. The Cochrane Library, Issue 2004. Chichester.
  2. Charles C, Gafni A, Whelan T. Shared decision-making in the medical encounter: what does it mean? (or it takes at least two to tango). Soc Sci Med. 1997;44:681–692
  3. Stewart MA, Belle Brown J, Wayne Weston W, McWhinney I, McWilliam C, Freeman T. Patient centred medicine. Transforming the clinical method. Sage: Thousand oaks; 1995;
  4. Griffin SJ, Kinmonth AL, Veltman MWM, Gillard S, Grant J, Stewart M. Effect on health-related outcomes of interventions to alter the interaction between patients and practitioners: A Systematic Review of Trials. Ann Fam Med. 2004;2:595–608
  5. O’Connor AM, Bennett C, Stacey D, Barry MJ, Col NF, Eden KB, et al. Do patient decision aids meet effectiveness criteria of the international patient decision aid standards collaboration? A systematic review and meta-analysis. Med Decis Making. 2007;27:554–574
  6. Durand MA, Stiel M, Boivin J, Elwyn G. Where is the theory? Evaluating the theoretical frameworks described in decision support technologies. Patient Educ Couns. 2008;71:125–135
  7. In:  Edwards A,  Elwyn G editor. Evidence based patient choice. Oxford: Oxford University Press; 2001;
  8. Simon D, Schorr G, Wirtz M, Vodermaier A, Caspari C, Neuner B, et al. Development and first validation of the shared decision-making questionnaire (SDM-Q). Patient Educ Couns. 2006;63(3):319–327
  9. Simon HA. A behavioural theory of rational choices. Quart J Econ. 1952;69:99–118
  10. Elwyn G, Edwards A, Eccles M, Rovner D. Decision analysis in patient care. Lancet. 2001;358:571–574
  11. O’Connor AM. Validation of a decisional conflict scale. Med Decis Making. 1995;15:25–30
  12. Fishbein M, Ajzen I. Belief, attitude, intention and behaviour. An introduction to theory and research. Reading, MA: Addison Wesley; 1975;
  13. In:  Ajzen I,  Fishbein M editor. Understanding attitudes and predicting social behaviour. New Jersey: Prentice-Hall; 1980;
  14. Elwyn G, O’Connor A, Stacey D, Volk R, Edwards A, Coulter A, et al. Developing a quality criteria framework for patient decision aids: online international Delphi consensus process. Br Med J. 2006;333:417–420
  15. Makoul G, Clayman ML. An integrative model of shared decision making in medical encounters. Patient Educ Couns. 2006;60:301–312
  16. Charles C, Gafni A, Whelan T. Decision-making in the physician–patient encounter: revisiting the shared treatment decision-making model. Soc Sci Med. 1999;49:651–661
  17. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179–211
  18. Armitage CJ, Conner M. Efficacy of the theory of planned behaviour: a meta-analytic review. Brit J Soc Psychol. 2001;40:471–499
  19. Bandura A. Self-efficacy. In:  Ramachaudran VS editors. Encyclopedia of human behaviour. vol. 4:New York: Academic Press; 1994;p. 71–81
  20. Atkinson JW, Kuhl J. Motivation, thought, and action. New York: Praeger Publishers; 1986;
  21. Manstead A. The role of moral norm in the attitude-behavior relation. In:  Terry DJ,  Hogg M editor. Attitudes, behavior, and social context. The role of norm and group membership. Mahwah: Lawrence Erlbaum Associates; 2000;p. 11–30
  22. Ajzen, I. Constructing a TPB Questionnaire. Conceptual and Methodological Considerations. Web Publication, last update January 2006; (http://www-unix.oit.umass.edu/∼aizen/pdf/tpb.measurement.pdf; last access 12th of august 2008.
  23. Conner M, Sparks P. Theory of planned behaviour and health behaviour. In:  Conner M,  Norman P editor. Predicting health behaviour. 2nd edition. Berkshire: Open University Press; 2005;p. 170–222
  24. Godin G, Kok G. The theory of planned behaviour: a review of its applications to health-related behaviours. Am J Health Promotion. 1996;11:87–98
  25. O’Neill SC, Bowling JB, Brewer NT, Lipkus IM, Skinner CS, Strigo TS, et al. Intention to maintain adherence to mammography. J Womens Health. 2008;17:1133–1141
  26. Godin G, Belanger-Gravel A, Eccles M, Grimshaw J. Healthcare professionals’ intentions and behaviours: a systematic review of studies based on social cognitive theories. Implement Sci. 2008;3:36
  27. Legare F, Godin G, Ringa V, Dodin S, Turcot L, Norton J. Variation in the psychosocial determinants of the intention to prescribe hormone therapy prior to the release of the Women's health Initiative trial: a survey of general practitioners and gynaecologists in France and Quebec. BMC Med Informat Decis Making. 2005;5:31
  28. Legare F, Graham ID, O’Connor AC, Aubin M, Baillargeon L, Deduc Y, et al. Prediction of health professionals’ intention to screen for decisional conflict in clinical practice. Health Expect. 2007;10:364–379
  29. Archer R, Elder W, Hustedde C, Milam A, Joyce J. The theory of planned behaviour in medical education: a model for integrating professionalism training. Med Educ. 2008;42:771–777
  30. Hardeman W, Sutton S, Griffin S, Johnston M, White A, Wareham NJ, et al. A causal modelling approach to the development of theory-based behaviour change programmes for trial evaluation. Health Educ Res. 2005;20:676–687
  31. Campbell NC, Murray E, Darbyshire J, Emery J, Farmer A, Griffith F, et al. Designing and evaluating complex interventions to improve health care. Br Med J. 2007;334:455–459
  32. Sadowski EM, Eimer C, Keller H, Krones T, Sönnichsen AC, Baum E, et al. Evaluation komplexer Interventionen: Implementierung von ARRIBA-Herz, einer Beratungsstrategie für die Herz-Kreislaufprävention. [Evaluation of complex interventions: Implementation of ARRIBA-Herz, A Counselling strategy for Coronary prevention.]. Z f Allg Med. 2005;81:429–434
  33. Krones T, Keller H, Sönnichsen AC, Sadowski EM, Baum E, Donner-Banzhoff N. Partizipative Entscheidungsfindung in der kardiovaskulären Risikoprävention: Ergebnisse der Pilotstudie von ARRIBA-Herz, einer konsultationsbezogenen Entscheidungshilfe für die allgemeinmedizinische Praxis. [Shared decision making in cardiovascular prevention: results from the piloting of ARRIBA-Herz, a transactional decision aid for general practice.]. Z Med Psychol. 2006;15:61–70
  34. Donner-Banzhoff N, Keller H, Sadowski EM, Krones T, Baum E, Sönnichsen AC, Popert U. Individualisierte Risikoprognose für die Herz-Kreislauf-Prävention: Ein Werkstattbericht. In: Kunz R, Ollenschläger G, Raspe H, Jonitz G, Donner-Banzhoff N, (Eds.). Lehrbuch Evidenzbasierte Medizin in Klinik und Praxis. Köln:Deutscher Ärzteverlag; 2007:295–304.
  35. Rogers EM. Diffusions of innovations. New York, NY: The Free Press; 1995;
  36. In:  Fox RD,  Mazmanian PE,  Putnam RW editor. Changing and learning in the lives of physicians. Westport: Praeger Publishers; 1989;
  37. Davis DA, Thomson MA, Oxman AD, Haynes RB. Evidence for the effectiveness of CME. A review of 50 randomized controlled trials. JAMA. 1992;268:1111–1117
  38. Grimshaw JM, Thomas RE, MacLennan G, Fraser C, Ramsay CR, Vale L, et al. Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technol Assess. 2004;8:1–72
  39. Gigerenzer G, Gaissmaier W, Kurz-Milcke E, Schwartz LM, Woloskin S. Helping doctors and patients make sense of health statistics. Psychol Sci Public Interest. 2008;8:53–93
  40. Krones T, Keller H, Sönnichsen A, Sadowski EM, Baum E, Wegscheider K, et al. Absolute cardiovascular disease risk and shared decision making in primary care: a randomized controlled trial. Ann Fam Med. 2008;6:218–227
  41. Cohen J. Statistical power analysis for the behavioral sciences. New York, NY: Academic Press; 1969;
  42. Fazio RH. Multiple processes by which attitudes guide behaviour: the MODE model as an integrative framework. In:  Zanna MP editors. Advances in experimental social psychology. vol. 13:San Diego, CA: Academic Press; 1990;p. 75–109
  43. Hewstone M, Stroebe W, Jonas K. Introduction to social psychology. A European perspective. 4th edition. Blackwell Publishing; 2007;
  44. Dutta-Bergman MJ. Developing a profile of consumer intention to seek out additional information beyond a doctor: the role of communicative and motivation variables. Health Commun. 2005;17:1–16
  45. Prochaska JO, DiClemente CC. Stages and processes of self change in smoking: towards an integrative model of change. J Consult Clin Psychol. 1998;51:390–395
  46. Beauchamp T, Childress J. Principles of biomedical ethics. Oxford: Oxford University Press; 2001;
  47. Muller-Engelmann M, Krones T, Keller H, Donner-Banzhoff N. Decision making preferences in the medical encounter—a factorial survey design. BMC Health Serv Res. 2008;17:260

PII: S0738-3991(09)00258-4

doi: 10.1016/j.pec.2009.06.010

Patient Education and Counseling
Volume 78, Issue 2 , Pages 169-176 , February 2010