A primary care Web-based Intervention Modeling Experiment replicated behavior changes seen in earlier paper-based experiment

Shaun Treweek; Jill J. Francis; Debbie Bonetti; Karen Barnett; Martin P. Eccles; Jemma Hudson; Claire Jones; Nigel B. Pitts; Ian W. Ricketts; Frank Sullivan; Mark Weal; Graeme MacLennan

doi:10.1016/j.jclinepi.2016.07.008

A primary care Web-based Intervention Modeling Experiment replicated behavior changes seen in earlier paper-based experiment

Shaun Treweek, Jill J. Francis, Debbie Bonetti, Karen Barnett, Martin P. Eccles, Jemma Hudson, Claire Jones, Nigel B. Pitts, Ian W. Ricketts, Frank Sullivan, Mark Weal, Graeme MacLennan

School of Medicine

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

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Abstract

Objectives: Intervention Modeling Experiments (IMEs) are a way of developing and testing behavior change interventions before a trial. We aimed to test this methodology in a Web-based IME that replicated the trial component of an earlier, paper-based IME.

Study Design and Setting: Three-arm, Web-based randomized evaluation of two interventions (persuasive communication and action plan) and a "no intervention" comparator. The interventions were designed to reduce the number of antibiotic prescriptions in the management of uncomplicated upper respiratory tract infection. General practitioners (GPs) were invited to complete an online questionnaire and eight clinical scenarios where an antibiotic might be considered.

Results: One hundred twenty-nine GPs completed the questionnaire. GPs receiving the persuasive communication did not prescribe an antibiotic in 0.70 more scenarios (95% confidence interval [CI] = 0.17-1.24) than those in the control arm. For the action plan, GPs did not prescribe an antibiotic in 0.63 (95% CI = 0.11-1.15) more scenarios than those in the control arm. Unlike the earlier IME, behavioral intention was unaffected by the interventions; this may be due to a smaller sample size than intended.

Conclusions: A Web-based IME largely replicated the findings of an earlier paper-based study, providing some grounds for confidence in the IME methodology.

Original language	English
Pages (from-to)	116-122
Number of pages	7
Journal	Journal of Clinical Epidemiology
Volume	80
Early online date	26 Jul 2016
DOIs	https://doi.org/10.1016/j.jclinepi.2016.07.008
Publication status	Published - Dec 2016

Keywords

Intervention Modeling Experiments
Behavior change
Randomized controlled trials
Intervention development
Prescribing
Primary care

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jclinepi.2016.07.008

Treweeketl_JCE_Primary-care_AM
Copyright © 2016, Elsevier Inc. This work is made available online in accordance with the publisher’s policies. This is the author created, accepted version manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1016/j.jclinepi.2016.07.008
Accepted author manuscript, 657 KBLicence: CC BY-NC-ND

http://eprints.soton.ac.uk/id/eprint/398803Licence: CC BY-NC-ND

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Treweek, S., Francis, J. J., Bonetti, D., Barnett, K., Eccles, M. P., Hudson, J., Jones, C., Pitts, N. B., Ricketts, I. W., Sullivan, F., Weal, M., & MacLennan, G. (2016). A primary care Web-based Intervention Modeling Experiment replicated behavior changes seen in earlier paper-based experiment. Journal of Clinical Epidemiology, 80, 116-122. https://doi.org/10.1016/j.jclinepi.2016.07.008

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title = "A primary care Web-based Intervention Modeling Experiment replicated behavior changes seen in earlier paper-based experiment",

abstract = "Objectives: Intervention Modeling Experiments (IMEs) are a way of developing and testing behavior change interventions before a trial. We aimed to test this methodology in a Web-based IME that replicated the trial component of an earlier, paper-based IME.Study Design and Setting: Three-arm, Web-based randomized evaluation of two interventions (persuasive communication and action plan) and a {"}no intervention{"} comparator. The interventions were designed to reduce the number of antibiotic prescriptions in the management of uncomplicated upper respiratory tract infection. General practitioners (GPs) were invited to complete an online questionnaire and eight clinical scenarios where an antibiotic might be considered.Results: One hundred twenty-nine GPs completed the questionnaire. GPs receiving the persuasive communication did not prescribe an antibiotic in 0.70 more scenarios (95% confidence interval [CI] = 0.17-1.24) than those in the control arm. For the action plan, GPs did not prescribe an antibiotic in 0.63 (95% CI = 0.11-1.15) more scenarios than those in the control arm. Unlike the earlier IME, behavioral intention was unaffected by the interventions; this may be due to a smaller sample size than intended.Conclusions: A Web-based IME largely replicated the findings of an earlier paper-based study, providing some grounds for confidence in the IME methodology.",

keywords = "Intervention Modeling Experiments, Behavior change, Randomized controlled trials, Intervention development, Prescribing, Primary care",

author = "Shaun Treweek and Francis, {Jill J.} and Debbie Bonetti and Karen Barnett and Eccles, {Martin P.} and Jemma Hudson and Claire Jones and Pitts, {Nigel B.} and Ricketts, {Ian W.} and Frank Sullivan and Mark Weal and Graeme MacLennan",

year = "2016",

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doi = "10.1016/j.jclinepi.2016.07.008",

language = "English",

volume = "80",

pages = "116--122",

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Treweek, S, Francis, JJ, Bonetti, D, Barnett, K, Eccles, MP, Hudson, J, Jones, C, Pitts, NB, Ricketts, IW, Sullivan, F, Weal, M & MacLennan, G 2016, 'A primary care Web-based Intervention Modeling Experiment replicated behavior changes seen in earlier paper-based experiment', Journal of Clinical Epidemiology, vol. 80, pp. 116-122. https://doi.org/10.1016/j.jclinepi.2016.07.008

TY - JOUR

T1 - A primary care Web-based Intervention Modeling Experiment replicated behavior changes seen in earlier paper-based experiment

AU - Treweek, Shaun

AU - Francis, Jill J.

AU - Bonetti, Debbie

AU - Barnett, Karen

AU - Eccles, Martin P.

AU - Hudson, Jemma

AU - Jones, Claire

AU - Pitts, Nigel B.

AU - Ricketts, Ian W.

AU - Sullivan, Frank

AU - Weal, Mark

AU - MacLennan, Graeme

PY - 2016/12

Y1 - 2016/12

N2 - Objectives: Intervention Modeling Experiments (IMEs) are a way of developing and testing behavior change interventions before a trial. We aimed to test this methodology in a Web-based IME that replicated the trial component of an earlier, paper-based IME.Study Design and Setting: Three-arm, Web-based randomized evaluation of two interventions (persuasive communication and action plan) and a "no intervention" comparator. The interventions were designed to reduce the number of antibiotic prescriptions in the management of uncomplicated upper respiratory tract infection. General practitioners (GPs) were invited to complete an online questionnaire and eight clinical scenarios where an antibiotic might be considered.Results: One hundred twenty-nine GPs completed the questionnaire. GPs receiving the persuasive communication did not prescribe an antibiotic in 0.70 more scenarios (95% confidence interval [CI] = 0.17-1.24) than those in the control arm. For the action plan, GPs did not prescribe an antibiotic in 0.63 (95% CI = 0.11-1.15) more scenarios than those in the control arm. Unlike the earlier IME, behavioral intention was unaffected by the interventions; this may be due to a smaller sample size than intended.Conclusions: A Web-based IME largely replicated the findings of an earlier paper-based study, providing some grounds for confidence in the IME methodology.

AB - Objectives: Intervention Modeling Experiments (IMEs) are a way of developing and testing behavior change interventions before a trial. We aimed to test this methodology in a Web-based IME that replicated the trial component of an earlier, paper-based IME.Study Design and Setting: Three-arm, Web-based randomized evaluation of two interventions (persuasive communication and action plan) and a "no intervention" comparator. The interventions were designed to reduce the number of antibiotic prescriptions in the management of uncomplicated upper respiratory tract infection. General practitioners (GPs) were invited to complete an online questionnaire and eight clinical scenarios where an antibiotic might be considered.Results: One hundred twenty-nine GPs completed the questionnaire. GPs receiving the persuasive communication did not prescribe an antibiotic in 0.70 more scenarios (95% confidence interval [CI] = 0.17-1.24) than those in the control arm. For the action plan, GPs did not prescribe an antibiotic in 0.63 (95% CI = 0.11-1.15) more scenarios than those in the control arm. Unlike the earlier IME, behavioral intention was unaffected by the interventions; this may be due to a smaller sample size than intended.Conclusions: A Web-based IME largely replicated the findings of an earlier paper-based study, providing some grounds for confidence in the IME methodology.

KW - Intervention Modeling Experiments

KW - Behavior change

KW - Randomized controlled trials

KW - Intervention development

KW - Prescribing

KW - Primary care

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DO - 10.1016/j.jclinepi.2016.07.008

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C2 - 27470610

SN - 0895-4356

VL - 80

SP - 116

EP - 122

JO - Journal of Clinical Epidemiology

JF - Journal of Clinical Epidemiology

ER -

A primary care Web-based Intervention Modeling Experiment replicated behavior changes seen in earlier paper-based experiment

Abstract

Keywords

UN SDGs

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