Theories | Theoretical method | Determinants | Practical applications | Objective |
---|---|---|---|---|
• Information transfer | • Knowledge | Individual PT and PQM | Individual PT and PQM | |
• Brief lectures | • Get acquainted with self-regulation | |||
• Knowledge about the content of the guidelines and measurement instruments | ||||
PQM | ||||
• Get acquainted with management process | ||||
• Get acquainted with management tools | ||||
• Elaboration likelihood | • Active information processing | • Knowledge | Individual PT and PQM | Individual PT and PQM |
Model [26] | • Cooperative learning | • Attitude (guideline characteristics and affective determinants) | • Small group sessions with peers and practice | • Attitude building about guideline – what does the patient gain? |
• Environmental re- evaluation | • Social norms | • Plenary discussions | • How do colleagues think about the guideline? | |
• Transtheoretical model [27] | • Social influence | • Better processing of new knowledge | ||
• Theory of planned behavior [28] | • Discussion | |||
• Self monitoring | • Awareness | Individual PT and PQM | Individual PT | |
• Transtheoretical model [27] | • Conciousness raising | • Home-work assignment | • Comparing a patient record with the recommendations in the guideline for low back pain | |
• Precaution adoption | PQM | |||
Process model [30] | • Personalizing ‘risk’ | • Assessment of practice organization and practice change culture | ||
• Organizational reflection | ||||
• Goal setting theory [22] | • Goal setting | • Outcome | Individual PT | Individual PT and PQM |
• Participation | • Expectations | • Home work assignment | • Choosing points for improvement | |
• Cooperative | • Self-efficacy | • Small group work with peers | • Formulate SMART individual and collective goals | |
• learning | • Intention | PQM | ||
• Discussion | • Commitment | Individual PT and PQM | • Leading a meeting to set goals for improvement | |
• Small group work with practice | • Setting SMART collective goals | |||
• Feedback | • Skills | • Plenary discussion with peer and expert feedback | ||
•Implementation intentions [23] | • Implementation intentions | • Outcome expectations | Individual PT | Individual PT |
• Develop a personal | • Describe the SMART goals and the strategies to achieve them | |||
• Planning coping responses | • Self-efficacy | • Development plan (PDP) | ||
• Intention | PQM | PQM | ||
• Feedback | • Skills | • Develop a practice quality improvement plan (PQIP) | • Describe the SMART goals and the management steps to take to achieve them | |
Individual PT and PQM | • Describe the necessary means | |||
• Plenary presentation with peer and expert feedback of | • Estimate the costs | |||
the PDP’s and the PQIP’s | • Make a risk analysis | |||
• Active learning | • Self-efficacy | Individual PT and PQM | Individual PT | |
• Home-work assignment with expert and peer feedback | • Implement one of your goals | |||
• Guided practice | • Skills | PQM | ||
• Achieve quick wins | ||||
• Evaluation | • Skills | Individual PT and PQM | Individual PT and PQM | |
• Organizational diagnosis/monitor-ring | • Home-work assignment | • Evaluate if the intended change was achieved and why (not) | ||
• Small group work with peers | ||||
•Goal setting theory [22] | • Action planning | • Commitment | Individual PT and PQM | Individual PT and PQM |
•Implementation intentions [23] | • Participation | • Intention | • Home-work assignment | • Make a plan for continuation of the process |
• Small group work with practice | • How do colleagues deal with barriers for implementation? | |||
• Plenary presentation with peer and expert feedback | ||||
•Social cognitive theory [33] | • Vicarious learning | • Self-efficacy | Individual PT and PQM | Individual PT and PQM |
• Modeling | • Skills | • Meet the expert session | • Improve self-efficacy and skills about handling psychosocial factors |