title: The association between farmers' participation in herd health programmes and their behaviour concerning treatment of mild clinical mastitis.
abstract: BACKGROUND
  In Denmark, it has recently become mandatory for all dairy farmers with more than 100 cows to sign up for a herd health programme. Three herd health programmes are available. These differ in a number of aspects, including the frequency of veterinary visits and the farmer's access to prescription drugs. The objective of this study was to investigate whether dairy farmers' behavioural intentions, i.e. to call a veterinarian or start medical treatment on the day that they detect a cow with mild clinical mastitis (MCM), are different depending on the type of herd health programme.
  
  
  METHODS
  A questionnaire survey based on the Theory of Planned Behaviour (TPB) was conducted. TPB proposes that a person's behavioural intention is strongly correlated with his or her actual behaviour. Three behavioural factors determine the behavioural intention: attitude, subjective norm and perceived behavioural control. Each of these factors is decided by a set of beliefs, each of which in turn is weighted by an evaluation: 1) the expected outcomes of performing the behaviour, 2) what a person believes that others think of the behaviour, and 3) the person's perceived power to influence the behaviour.A set of statements about the treatment of MCM based on interviews with 38 dairy farmers were identified initially. The statements were rephrased as questions and the resulting questionnaire was distributed to 400 randomly selected Danish dairy farmers who use the two most restrictive herd health programmes, either Core or Module1, and to all 669 farmers with the least restrictive herd health programme, Module2. The association between intention and the herd health programme was modelled using logistic regression.
  
  
  RESULTS
  The farmers with the Module2 herd health programme had a significantly higher behavioural intention to perform the behaviour, when compared to farmers with a more restrictive herd health programme (OR = 2.1, p < 0.0001).
  
  
  CONCLUSIONS
  Danish dairy farmers who participate in Module2 herd health programme had a higher intention to treat cases of MCM, compared to farmers who participate in a more restrictive herd health programme in which the veterinarian initiates treatments.
authors.affiliation: Department of Large Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Grønnegårdsvej 8, Denmark. ann-kristina.lind@slu.se
authors.forename: Ann-Kristina
authors.initials: AK
authors.lastname: Lind
authors.forename: Peter T
authors.initials: PT
authors.lastname: Thomsen
authors.forename: Simo
authors.initials: S
authors.lastname: Rintakoski
authors.forename: Mari N
authors.initials: MN
authors.lastname: Espetvedt
authors.forename: Cecilia
authors.initials: C
authors.lastname: Wolff
authors.forename: Hans
authors.initials: H
authors.lastname: Houe
mesh_terms: D000328:Adult; D000818:Animals; D002417:Cattle; D003612:Dairying / Q000379:methods*; D003718:Denmark; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D016015:Logistic Models; D008297:Male; D008414:Mastitis, Bovine / Q000188:drug therapy*; D008875:Middle Aged; D011795:Surveys and Questionnaires