Exploring barriers and enablers to the delivery of Making Every Contact Count brief behavioural interventions in Ireland: A cross-sectional survey study.

Autor: Meade O; Health Behaviour Change Research Group, School of Psychology, University of Galway, Galway, Ireland., O'Brien M; Office of the Chief Clinical Officer, Health Services Executive, Cork, Ireland., Noone C; Health Behaviour Change Research Group, School of Psychology, University of Galway, Galway, Ireland., Lawless A; Making Every Contact Count, Health & Wellbeing, Strategy & Research, Health Services Executive, Waterford, Ireland., McSharry J; Health Behaviour Change Research Group, School of Psychology, University of Galway, Galway, Ireland., Deely H; Strategy & Research, Healthcare Strategy, Health Service Exectutive, Dublin, Ireland., Hart J; University of Manchester, Manchester, UK., Hayes CB; Public Health and Primary Care, Institute of Population Health, Trinity College Dublin, Dublin, Ireland., Keyworth C; University of Leeds, Leeds, UK., Lavoie K; University of Quebec at Montreal (UQAM) & Montréal Behavioural Medicine Centre, CIUSSS-NIM, Montréal, Canada., McGowan O; Health Service Executive Health and Wellbeing, Dublin, Ireland., Murphy AW; Health Research Board Primary Care Clinical Trials Network Ireland, University of Galway, Galway, Ireland., Murphy PJ; Health Research Board Primary Care Clinical Trials Network Ireland, Discipline of General Practice, University of Galway, Galway, Ireland., O'Reilly O; Office of the Chief Clinical Officer, Health Services Executive, Kilkenny, Ireland., Byrne M; Health Behaviour Change Research Group, School of Psychology, University of Galway, Galway, Ireland.
Jazyk: angličtina
Zdroj: British journal of health psychology [Br J Health Psychol] 2023 Sep; Vol. 28 (3), pp. 753-772. Date of Electronic Publication: 2023 Feb 26.
DOI: 10.1111/bjhp.12652
Abstrakt: Objectives: The public health impact of the Irish Making Every Contact Count (MECC) brief intervention programme is dependent on delivery by health care professionals. We aimed to identify enablers and modifiable barriers to MECC intervention delivery to optimize MECC implementation.
Design: Online cross-sectional survey design.
Methods: Health care professionals (n = 4050) who completed MECC eLearning were invited to complete an online survey based on the Theoretical Domains Framework (TDF). Multiple regression analysis identified predictors of MECC delivery (logistic regression to predict delivery or not; linear regression to predict frequency of delivery). Data were visualized using Confidence Interval-Based Estimates of Relevance (CIBER).
Results: Seventy-nine per cent of participants (n = 283/357) had delivered a MECC intervention. In the multiple logistic regression (Nagelkerke's R 2  = .34), the significant enablers of intervention delivery were 'professional role' (OR = 1.86 [1.10, 3.15]) and 'intentions/goals' (OR = 4.75 [1.97, 11.45]); significant barriers included 'optimistic beliefs about consequences' (OR = .41 [.18, .94]) and 'negative emotions' (OR = .50 [.32, .77]). In the multiple linear regression (R 2  = .29), the significant enablers of frequency of MECC delivery were 'intentions/goals' (b = 10.16, p = .02) and professional role (b = 6.72, p = .03); the significant barriers were 'negative emotions' (b = -4.74, p = .04) and 'barriers to prioritisation' (b = -5.00, p = .01). CIBER analyses suggested six predictive domains with substantial room for improvement: 'intentions and goals', 'barriers to prioritisation', 'environmental resources', 'beliefs about capabilities', 'negative emotions' and 'skills'.
Conclusion: Implementation interventions to enhance MECC delivery should target intentions and goals, beliefs about capabilities, negative emotions, environmental resources, skills and barriers to prioritization.
(© 2023 The Authors. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.)
Databáze: MEDLINE
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