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Table 3 Summary of the systematic selection of theoretical constructs to target in the development of the interventions1.

From: Developing the content of two behavioural interventions: Using theory-based interventions to promote GP management of upper respiratory tract infection without prescribing antibiotics #1

Theoretical Construct

Intention

Simulated Behaviour

Behaviour

 

TPB

Predictor Y/N

r

Predictor Y/N

r

Predictor Y/N

r

Mapped beliefs that discriminate between GPs who do and do not intend to manage URTI without antibiotics [17]

Attitude direct*

Y

0.49

Y

0.32

N

0.07

 

Attitude indirect*

Y

0.41

Y

0.21

N

0.02

 

Intention

-

-

Y

0.44

Y

0.19*

 

PBC direct

Y

-0.28

Y

-0.39

N

-0.04

 

PBC indirect

Y

0.60

Y

0.49

N

0.17*

 

Subjective norm

N

0.04

N

0.005

N

-0.10

 

SCT

       

**Risk perception

Y

0.54

Y

0.35

Y

0.17*

• Prescribing an antibiotic for these patients will reduce their risk of developing minor complications such as otitis media and sinusitis (BB)

• Because I don't know the cause of these patients' sore throats, I will prescribe an antibiotic so that I don't miss something (CB)

• In most cases, the patient will finish the course of antibiotics I prescribe(CB)

Outcome expectancy (2 items)

Y

0.41

Y

0.19

N

-0.05

 

Outcome expectancy (7 items)

Y

0.21

Y

0.27

N

-0.03

 

Self-efficacy

Y

0.56

Y

0.43

Y

0.14*

• If a patient asks for an antibiotic then I will prescribe one whether it is medically indicated or not (CB)

• I am more inclined to prescribe an antibiotic for patients of a lower social class (CB)

• Because I don't know the cause of these patients' sore throats, I will prescribe an antibiotic so that I don't miss something (CB)

• In most cases, the patient will finish the course of antibiotics I prescribe (CB)

OLT

       

**Anticipated consequences

Y

0.54

Y

0.35

Y

0.17*

• Prescribing an antibiotic for these patients will reduce their risk of developing minor complications such as otitis media and sinusitis (BB)

• Because I don't know the cause of these patients' sore throats, I will prescribe an antibiotic so that I don't miss something (CB)

• In most cases, the patient will finish the course of antibiotics I prescribe (CB)

Evidence of habitual behaviour

Y

0.64

Y

0.46

Y

0.23*

 
  1. 1. Data from interim analysis of dataset [25]
  2. * TPB attitudes and PBC constructs can be measured "indirectly" by asking individuals to report their specific beliefs or directly by asking individuals to report at a more general level
  3. **The SCT risk perception questions were also used as a measure of OC anticipated consequences. CB = Control Belief; BB = Behavioural Belief