Applying psychological theories to evidence-based clinical practice: identifying factors predictive of lumbar spine x-ray for low back pain in UK primary care practice

Grimshaw, Jeremy M; Eccles, Martin P; Steen, Nick; Johnston, Marie; Pitts, Nigel B; Glidewell, Liz; Maclennan, Graeme; Thomas, Ruth; Bonetti, Debbie; Walker, Anne

doi:10.1186/1748-5908-6-55

Implementation Science

Table 5 Predicting behavioural simulation and intention by psychological theory: correlation and multiple regression analyses

From: Applying psychological theories to evidence-based clinical practice: identifying factors predictive of lumbar spine x-ray for low back pain in UK primary care practice

		Behavioural simulation					Behavioural intention
Theory	Predictive Constructs	r	Beta	R2(adj)	df	F	r	Beta	R2(adj)	df	F
Theory of Planned	Intention	0.313***	0.182**
Behaviour	PBC direct	-0.143*	0.018
	PBC power	0.315***	0.236**	.116	3, 282	13.4***
	Attitude direct						-0.180**	-0.088
	Attitude indirect						0.361***	0.013
	Subjective Norm						0.149**	-0.003
	PBC direct						-0.320***	-0.068
	PBC power						0.487***	0.090***	.250	5, 282	20.1***
Social Cognitive	Risk perception	0.286***	0.204**				0.392***	0.226***
Theory	Outcome expectancies	0.139*	-0.023				0.350***	0.210**
	Self efficacy	0.301***	0.245***				0.336***	0.197**
	Generalised self efficacy	-0.036	-0.001	.121	4, 272	10.5***	-0.035	0.022	.215	4, 271	19.8***
Implementation intention		.135*	.135*	.015	1, 275	5.1*
Operant Learning Theory	Anticipated consequences	0.286***	0.253***				0.392***	0.238***
	Evidence of habitual behaviour	0.184**	0.080	.081	2, 287	13.7***	0.470***	0.371***	.263	2, 286	52.3***
Common sense	Identity of condition	-0.043	-0.029				0.043	0.081
Self regulation model	Timeline acute	0.079	-0.029				0.097	0.000
	Timeline cyclical	0.010	0.006				-0.020	-0.050
	Control - by treatment	-0.187*	-0.115				-0.217**	-0.160**
	Control - by patient	-0.121*	-0.004				-0.282**	-0.089
	Control - by doctor	-0.140*	-0.024				-0.315**	-0.107
	Cause - stress	-0.104	-0.051				-0.119*	-0.190
	Cause - family problems	-0.096	-0.097				-0.080	0.084
	Cause - poor prior medical care	0.039	0.100				-0.033	0.011
	Cause - patient's own behaviour	0.040	0.074				-0.048	0.017
	Cause - ageing	0.145***	0.145*				0.073	0.062
	Cause - bad luck	0.053	0.071				-0.010	-0.044
	Cause - overwork	-0.032	-0.080				0.046	0.052
	Consequence	-0.080	-0.063				-0.061	-0.015
	Emotional Response	-0.184***	-0.117				0.187**	-0.001
	Coherence	0.089	-0.060	.036	16,268	1.7	-0.249**	-0.142**	.113	16,265	3.2***
Precaution Adoption Process		-0.09	-0.09	.005	1, 296	2.5	-0.17**	-0.17**	0.026	1, 294	8.3**
Knowledge		-.091	-.091	.005	1, 292	0.1	-.163**	-.148**	.023	1, 292	8.0**

*p = or <0.05; ** p = or <0.01; ***p = or <0.001.
r = Pearson product moment correlation coefficient; Beta = standardised regression coefficients.

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ISSN: 1748-5908

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