title: Commitment to change and assessment of confidence: tools to inform the design and evaluation of interprofessional education.
abstract: BACKGROUND
  This study examines use of the commitment-to-change model (CTC) and explores the role of confidence in evaluating change associated with participation in an interprofessional education (IPE) symposium. Participants included students, faculty, and practitioners in the health professions.
  
  
  METHODS
  Satisfaction with the symposium and levels of commitment and confidence in implementing a change were assessed with a post-questionnaire and a follow-up questionnaire distributed 60 days later. Participants who reported changed behavior were compared with those who did not make a change. Independent sample t-tests determined whether there were differences between groups in their average level of commitment and/or confidence immediately following the symposium and at follow-up.
  
  
  RESULTS
  At post-symposium, attendees were satisfied with content and format. Sixty-eight percent said they would make a change in profession related activities. At 60 days, 53% indicated they had implemented a change. In comparison to those who reported no change, those who made a change reported higher levels of commitment and higher levels of confidence. Logistic regression suggested that the combination of commitment and confidence did not predict implementation in this sample; however, confidence had a higher odds ratio for predicting success than did commitment.
  
  
  CONCLUSIONS
  Confidence should be studied further in relation to commitment as a predictor of behavioral change associated with participation in an IPE symposium. Evaluators and instructional designers should consider use of follow-up support activities to improve learners' confidence and likelihood of successful behavior change in the workplace.
authors.forename: Jessica A
authors.initials: JA
authors.lastname: Evans
authors.forename: Paul E
authors.initials: PE
authors.lastname: Mazmanian
authors.forename: Alan W
authors.initials: AW
authors.lastname: Dow
authors.forename: Kelly S
authors.initials: KS
authors.lastname: Lockeman
authors.forename: Victor A
authors.initials: VA
authors.lastname: Yanchick
mesh_terms: D003299:Cooperative Behavior; D004493:Education / Q000592:standards*; D006281:Health Occupations / Q000193:education*; D006801:Humans; D007400:Interprofessional Relations; D015397:Program Evaluation; D011795:Surveys and Questionnaires
keywords: collaborative practice; commitment to change; confidence; continuing professional development; evaluation-educational intervention; interprofessional education