Determinants of adoption of cognitive behavioral interventions in a hospital setting: example of a minimal-contact smoking cessation intervention for cardiology wards.
OBJECTIVE
The aim of our study was to identify the psychological and organizational determinants of adopting a smoking cessation intervention in cardiology wards, using the Integrated Change Model (I-Change Model) as the theoretical basis.


METHODS
A cross-sectional survey by means of questionnaires was conducted among the heads of all 121 cardiology wards in Dutch hospitals, of whom 77 (64%) responded.


RESULTS
Adopters had a significantly lower level of formalization and more nurses working on the ward. Adopters also had a significantly more positive attitude towards working with the intervention, perceived more positive social influences from their direct environment and had higher self-efficacy. Psychological determinants explained adoption to a greater extent than organizational determinants did.


CONCLUSIONS
It is very important to take psychological factors into account when studying the adoption of preventive innovations and developing diffusion strategies.


CONCLUSIONS
Programs for dissemination of preventive innovations in a hospital setting should primarily focus on psychological characteristics like social influence and self-efficacy.
Segaar
Dewi
D
University of Maastricht, Department of Health Promotion and Health Education, Maastricht, P.O. Box 16070, 2500 BB The Hague, The Netherlands. d.segaar@gvo.unimaas.nl
Bolman
Catherine
C
Willemsen
Marc C
MC
Vries
Hein de
Hd
D000328:Adult; D001291:Attitude of Health Personnel; D002309:Cardiology / Q000193:education / Q000379:methods; D015928:Cognitive Behavioral Therapy / Q000193:education / Q000379:methods; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D004059:Diffusion of Innovation; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006757:Hospital Units / Q000458:organization & administration; D006801:Humans; D007400:Interprofessional Relations; D016015:Logistic Models; D008297:Male; D008960:Models, Psychological; D009042:Motivation; D009426:Netherlands; D009718:Nurse Administrators / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D015404:Nursing Methodology Research; D015279:Organizational Culture; D009936:Organizational Innovation; D020377:Self Efficacy; D016540:Smoking Cessation / Q000379:methods; D011795:Surveys and Questionnaires