Thank you to everyone who has given information on the topic of stages
of change(in particular about the transtheretical model). Here is a
summary of the information beginning with some references that we
found useful ourselves. If anybody is interested in following this
up, we will be happy to keep you up to date with our progress and the
project it is informing, please email [log in to unmask] and we
will keep you on our list of interested individuals and please keep
sending any more thoughts our way.
______________________
Some of our references include:
Lidstone (1987). Marketing Planning for the Pharmaceutical Industry.
Gower: Vermont. - this covers stages of change as described for use by
the pharmaceutical industry and has a resemblance to the
transtheoretical model (but as far as we know, has not been evaluated
in any form)
the following mention the model or critically evaluate it (which we
found to be of immense interest)
Moulding, N.T., Silagy, C.A., & Weller, D.P. (1999). A
framework for effective management of change in clinical practice:
dissemination and implementation of clinical practice guidelines.
Quality in Health Care, 8:177-183
Cohen, S.J., Halvorson, H.W., & Gosselink, C.A. (1994).
Changing Physician Behaviour to Improve Disease Prevention.
Preventative Medicine, 23: 284-291
Taylor, J., Berger, B., Anderson-Harper, H., & Grimley, D.
(2000). Pharmacists' readiness to assess consumers' over-the-counter
product selections. Journal of the American Pharmaceutical
Association. 40(4): 487-494
Main, D.S., Cohen, S.J., & DiClemente, C.C. (1995). Measuring
physician readiness to change cancer screening: preliminary results.
American Journal of Preventative Medicine. 11:54-58
Whitelaw, S., Baldwin, S., Bunton, R., Flynn, D. (2000). The
status of evidence and outcomes in Stages of Change research. Health
Education Research, 15(6): 707-718
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Responses from the group:
1.Individuals to contact
George Schmuckler (sp?) at the Health Service Research Dept at the
Institute of Psychiatry.
Maureen Dobbins at McMaster University has recently completed her PhD
in this area. (Her response has been included towards the end of the
message)
_____________________________________
2. Published Sources of information on the implementation of
evidence/guidelines or relevant theories:
Allery LA, Owen PA, Robling MR. BMJ 1997;314:870-874
Armstrong D, Reyburn H, Jones R. BMJ 1996;312:949-952
Weiss R, Charney E, Baumgardner R et. al. Pediatrics 1990;85:791-795
Geertsma RH, Parker RC, Whitbourne SK. J Med Educ 1982;57:752-761
Rogers EM. Diffusion of innovations. 4th ed. 1995; New York: The Free
Press
Davis, Thomson, Oxman, Haynes. Changing physician
performance: a systematic review of the effect of continuing
medical education strategies. JAMA, Sep 6, 1995, 274(9); 700-6.
Davis, Thomson, Oxman, Haynes. Evidence for the effectiveness of
CME: a review of 50 randomized controlled trials. Journal of the
American Medical Association, 1992 September 2; 268(9): 1111(7).
Palmer C and Fenner J (1999) Getting the Message Across: Review of
research theory about disseminating information within the NHS.
London: Gaskell.
This was the output of a multi-disciplinary group involving several
royal colleges etc. and has recently been published by Harcourt Brice.
It's called Implementing Guidelines, but I'm not 100% how you get
hold of it. Ross Scrivener at the RCN will be able to tell you
however ([log in to unmask]).
Organisation Change. A Primer was sent through as full text, an
introduction to organisational change with many useful references
(please contact me if you would like the forwarded to you).
Kings Fund Interim Report @Putting Practitioerns through the Paces by
Lesley Smith & John McClenahan which applied the ttm at the analysis
stage. This report is available from Angela Shepard on UK 020 7307
2606. The final report of the entire evaluation is on sale at the
King's Fund bookshop and is called Getting Better with Evidence
(www.kingsfund.org.uk) or 7307 2400 and ask for bookshop.
________________________________
3. Information generally given:
You may be aware of the PRECEED model of Green et al which
suggests that the interventions that best succeed in changing
performance and health care outcomes are those using practice-
enabling strategies, (office facilitators or patient educational
methods for example) or reinforcing methods (feedback or
reminders) in addition to predisposing or disseminating strategies. I
believe that Green's PRECEED model is complementary to stages
of change and might be useful in the planning of any strategies to
influence psychiatrist prescribing patterns.
From Maureen Dobbins at McMaster University:
My Phd and now postdoc work is focused on understanding the process of
evidence-based practice and policy-making, ...
I did not use the stages of change theory in my work, although I did
contemplate its use. I developed my own theoretical model of knowledge
transfer and uptake using the some of the following bodies of
literature.
Diffusion of Innovations
Organizational behaviour/decision-making
My framework is based primarily on Roger's theory of the diffusion of
innovations. Also, you may want to look up Alison Kitson with the Royal
Collage of Nurses in the UK who has been a pioneer in this area for a
number of years, and has here own model of knowledge transfer and
uptake, which I think she has been testing empirically.
Thanks
Rupa
----------------------
Rupa Chilvers
DEBIT Project Manager
Division of Psychiatry
University of Bristol
41 St Michael's Hill
Bristol BS2 8DZ
Tel: (0117) 928 7767
Fax: (0117) 925 3464
Email: [log in to unmask]
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