Dewi Segaar1, Catherine Bolman, Marc C Willemsen, Hein de Vries. 1. University of Maastricht, Department of Health Promotion and Health Education, Maastricht, P.O. Box 16070, 2500 BB The Hague, The Netherlands. d.segaar@gvo.unimaas.nl
Abstract
OBJECTIVE: The aim of our study was to identify the psychological and organizational determinants of adopting a smoking cessation intervention in cardiology wards, using the Integrated Change Model (I-Change Model) as the theoretical basis. METHODS: A cross-sectional survey by means of questionnaires was conducted among the heads of all 121 cardiology wards in Dutch hospitals, of whom 77 (64%) responded. RESULTS: Adopters had a significantly lower level of formalization and more nurses working on the ward. Adopters also had a significantly more positive attitude towards working with the intervention, perceived more positive social influences from their direct environment and had higher self-efficacy. Psychological determinants explained adoption to a greater extent than organizational determinants did. CONCLUSION: It is very important to take psychological factors into account when studying the adoption of preventive innovations and developing diffusion strategies. PRACTICE IMPLICATIONS: Programs for dissemination of preventive innovations in a hospital setting should primarily focus on psychological characteristics like social influence and self-efficacy.
OBJECTIVE: The aim of our study was to identify the psychological and organizational determinants of adopting a smoking cessation intervention in cardiology wards, using the Integrated Change Model (I-Change Model) as the theoretical basis. METHODS: A cross-sectional survey by means of questionnaires was conducted among the heads of all 121 cardiology wards in Dutch hospitals, of whom 77 (64%) responded. RESULTS: Adopters had a significantly lower level of formalization and more nurses working on the ward. Adopters also had a significantly more positive attitude towards working with the intervention, perceived more positive social influences from their direct environment and had higher self-efficacy. Psychological determinants explained adoption to a greater extent than organizational determinants did. CONCLUSION: It is very important to take psychological factors into account when studying the adoption of preventive innovations and developing diffusion strategies. PRACTICE IMPLICATIONS: Programs for dissemination of preventive innovations in a hospital setting should primarily focus on psychological characteristics like social influence and self-efficacy.
Authors: C Martínez; Y Castellano; A Andrés; M Fu; L Antón; M Ballbè; P Fernández; S Cabrera; A Riccobene; E Gavilan; A Feliu; A Baena; M Margalef; E Fernández Journal: Tob Induc Dis Date: 2017-11-02 Impact factor: 2.600
Authors: Kei-Long Cheung; Ben F M Wijnen; Mickaël Hiligsmann; Kathryn Coyle; Doug Coyle; Subhash Pokhrel; Hein de Vries; Maximilian Präger; Silvia M A A Evers Journal: Addiction Date: 2017-12-15 Impact factor: 6.526