Behavioural intentions towards use of digital video consultations in primary care: a survey study on physicians’, nurses’ and psychologists’ perceptions in Swedish primary care
Objectives The study aimed to describe the experiences of physicians, nurses and psychologists employed in primary care in using digital video consultations. The second objective was to study the association between the predictors of behaviour and behavioural intentions to use digital consultations...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/11/e082724.full |
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| author | Veronica Milos Nymberg Karl Maack Fredric Karlsson Nanna Gillberg Ewa Wikström Miriam Pikkemaat |
| author_facet | Veronica Milos Nymberg Karl Maack Fredric Karlsson Nanna Gillberg Ewa Wikström Miriam Pikkemaat |
| author_sort | Veronica Milos Nymberg |
| collection | DOAJ |
| description | Objectives The study aimed to describe the experiences of physicians, nurses and psychologists employed in primary care in using digital video consultations. The second objective was to study the association between the predictors of behaviour and behavioural intentions to use digital consultations and to relate underlying behavioural beliefs to experiences of digital consultations in primary care. Overall, the research questions focused on the association between previous training, profession or theory-based behavioural predictors and behavioural intentions to use digital video consultations.Design A web survey based on the theory of planned behaviour was sent to primary care professionals in western Sweden who had implemented digital video consultations. The questionnaire contained both closed and open-ended questions focusing on theory-based predictors of behavioural intentions, such as as attitudes, subjective norms and perceived behavioural control. Data were analysed with a mixed-methods approach using quantitative and qualitative analyses.Participants The questionnaire was distributed between June and October 2022 to 140 primary healthcare centres in western Sweden, of which 47 agreed to participate. Overall, the questionnaire was sent out to 969 clinicians, representing physicians, nurses and psychologists.Results Physicians and nurses had lower experience and less positive attitudes towards digital video consultations compared with psychologists. No statistically significant differences were seen among the groups in behavioural intentions to use digital video consultations. The regression analysis showed that attitude was the strongest predictor of behavioural intentions among primary care physicians, while attitude and perceived behavioural control were associated with behavioural intentions among nurses. No associations between predictors and intentions were found among psychologists.Conclusions The medical professionals reported high behavioural intentions to use digital video consultation despite different levels of experience. Attitude and perceived behavioural control were predictors of behavioural intentions among physicians and nurses, indicating that future implementation should consider the professions’ participation in the process. |
| format | Article |
| id | doaj-art-1d2ed685cfcb4953bd6dad3e08096ef3 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-1d2ed685cfcb4953bd6dad3e08096ef32025-08-20T02:14:57ZengBMJ Publishing GroupBMJ Open2044-60552024-11-01141110.1136/bmjopen-2023-082724Behavioural intentions towards use of digital video consultations in primary care: a survey study on physicians’, nurses’ and psychologists’ perceptions in Swedish primary careVeronica Milos Nymberg0Karl Maack1Fredric Karlsson2Nanna Gillberg3Ewa Wikström4Miriam Pikkemaat52 Center for Primary Health Care Research, Department of Clinical Sciences, Malmo, Lund University, Malmö, Sweden1 Public Health and Community Medicine, University of Gothenburg Institute of Medicine, Gothenburg, Sweden2 Center for Primary Health Care Research, Department of Clinical Sciences, Malmo, Lund University, Malmö, Sweden4 Department of Business Administration, University of Gothenburg School of Business, Economics and Law, Gothenburg, Sweden4 Department of Business Administration, University of Gothenburg School of Business, Economics and Law, Gothenburg, Sweden2 Center for Primary Health Care Research, Department of Clinical Sciences, Malmo, Lund University, Malmö, SwedenObjectives The study aimed to describe the experiences of physicians, nurses and psychologists employed in primary care in using digital video consultations. The second objective was to study the association between the predictors of behaviour and behavioural intentions to use digital consultations and to relate underlying behavioural beliefs to experiences of digital consultations in primary care. Overall, the research questions focused on the association between previous training, profession or theory-based behavioural predictors and behavioural intentions to use digital video consultations.Design A web survey based on the theory of planned behaviour was sent to primary care professionals in western Sweden who had implemented digital video consultations. The questionnaire contained both closed and open-ended questions focusing on theory-based predictors of behavioural intentions, such as as attitudes, subjective norms and perceived behavioural control. Data were analysed with a mixed-methods approach using quantitative and qualitative analyses.Participants The questionnaire was distributed between June and October 2022 to 140 primary healthcare centres in western Sweden, of which 47 agreed to participate. Overall, the questionnaire was sent out to 969 clinicians, representing physicians, nurses and psychologists.Results Physicians and nurses had lower experience and less positive attitudes towards digital video consultations compared with psychologists. No statistically significant differences were seen among the groups in behavioural intentions to use digital video consultations. The regression analysis showed that attitude was the strongest predictor of behavioural intentions among primary care physicians, while attitude and perceived behavioural control were associated with behavioural intentions among nurses. No associations between predictors and intentions were found among psychologists.Conclusions The medical professionals reported high behavioural intentions to use digital video consultation despite different levels of experience. Attitude and perceived behavioural control were predictors of behavioural intentions among physicians and nurses, indicating that future implementation should consider the professions’ participation in the process.https://bmjopen.bmj.com/content/14/11/e082724.full |
| spellingShingle | Veronica Milos Nymberg Karl Maack Fredric Karlsson Nanna Gillberg Ewa Wikström Miriam Pikkemaat Behavioural intentions towards use of digital video consultations in primary care: a survey study on physicians’, nurses’ and psychologists’ perceptions in Swedish primary care BMJ Open |
| title | Behavioural intentions towards use of digital video consultations in primary care: a survey study on physicians’, nurses’ and psychologists’ perceptions in Swedish primary care |
| title_full | Behavioural intentions towards use of digital video consultations in primary care: a survey study on physicians’, nurses’ and psychologists’ perceptions in Swedish primary care |
| title_fullStr | Behavioural intentions towards use of digital video consultations in primary care: a survey study on physicians’, nurses’ and psychologists’ perceptions in Swedish primary care |
| title_full_unstemmed | Behavioural intentions towards use of digital video consultations in primary care: a survey study on physicians’, nurses’ and psychologists’ perceptions in Swedish primary care |
| title_short | Behavioural intentions towards use of digital video consultations in primary care: a survey study on physicians’, nurses’ and psychologists’ perceptions in Swedish primary care |
| title_sort | behavioural intentions towards use of digital video consultations in primary care a survey study on physicians nurses and psychologists perceptions in swedish primary care |
| url | https://bmjopen.bmj.com/content/14/11/e082724.full |
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