scholarly journals Investigating the Effective Factors on Family Physicians’ prescriptions

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Ghanbarzadegan ◽  
Z Kavosi ◽  
S Karimi ◽  
M Peyravi ◽  
A Ghorbanian ◽  
...  

Abstract Introduction The physicians are responsible for prescribing medicine rationally. Physician's awareness of prescribing guidelines can lead to the selection of the most effective, appropriate and effective measures to the improved prescription. This study aim is to determine the factors influencing drug prescribing behaviour in family physicians. Methods This cross-sectional study was conducted in 2016 on a case study including 150 family physicians from Shiraz City who were selected by systematic random sampling method. A questionnaire related to the behaviour of prescribing physicians was used based on the theory of planned behaviour to collect data. The validity of the questionnaire was confirmed by the experts' opinion and its reliability was confirmed by calculating the Cronbach's alpha. The data were analyzed using structural equation modelling (SEM) by SPSS and Smart PLS software. Results It was specified that 39.3% of Shiraz family physicians have prescribed medicines for their most patients (61-70%) during the last month. Furthermore, 60% of physicians have prescribed for about 20% of their patients without any examination. In addition, 63% of doctors have repeated prescription for about 20% of patients with chronic disease. Based on the obtained results of the Research Structural Equation Model, none of the four considered variables explains changes in physicians' behaviour regarding prescribing. Although, “mental and perceived behavioural control” explain 30.2% of the changes in the intention of prescribing medication of family physicians in Shiraz. Conclusions The family physicians' behaviour in prescribing medicine shows the impact of factors such as the patient's request, as well as the role of the patients and colleagues pressure for prescribing medicine as a quality criterion for their practice. norms of mental and perceived behavioural control are effective in explaining the purpose of prescribing. Key messages Policymakers should implement policies to develop physicians’ behavior and logical prescription by education, financial incentives; consequently. Mental and perceived behavioral control are effective in explaining the purpose of prescribing.

2009 ◽  
Vol 36 (5) ◽  
pp. 895-914 ◽  
Author(s):  
Lindsay J. Della ◽  
David M. DeJoy ◽  
Charles E. Lance

In response to calls to reinvent the 5 A Day fruit and vegetable campaign, this study assesses the utility of VALS™, a consumer-based audience segmentation tool that divides the U.S. population into groups leading similar lifestyles. The study examines whether the impact of theory of planned behavior (TPB) constructs varies across VALS groups in a cross-sectional sample of 1,588 U.S. adults. In a multigroup structural equation model, the VALS audience group variable moderated latent TPB relationships. Attitudes, subjective norms, and perceived behavioral control explained 57% to 70% of the variation in intention to eat fruit and vegetables across 5 different VALS groups. Perceived behavioral control and intention also predicted self-reported consumption behavior ( R 2 = 20% to 71% across VALS groups). Bivariate z tests were calculated to determine statistical differences in parameter estimates across groups. Nine of the bivariate z tests were statistically significant ( p ≤ .04), with standardized coefficients ranging from .05 to .70. These findings confirm the efficacy of using the TPB to explain variation in fruit and vegetable consumption as well as the validity of using a consumer-based algorithm to segment audiences for fruit and vegetable consumption messaging.


2019 ◽  
Vol 122 (6) ◽  
pp. 1953-1967
Author(s):  
Mumtaz Ali Memon ◽  
Muhammad Zeeshan Mirza ◽  
Bibiana Lim ◽  
Waheed Ali Umrani ◽  
Mohamed Ayyub Hassan ◽  
...  

Purpose International students are considered as a huge and potentially lucrative segment for various products of the tourism industry in Malaysia. One of the tourism products is the local food they consume. The purpose of this paper is to investigate key factors that contribute to international students’ intention to consume Malay food. Drawing on the theory of planned behavior (TPB), the present study examines the impact of attitude, subject norm and perceived behavioral control (PBC) on international students’ intention to consume Malay food. Design/methodology/approach A quantitative approach using self-administered questionnaire was adopted. A total of 163 samples were collected from international students studying in five different Malaysian higher education institutions. A partial least squares structural equation modeling technique was used to test the hypothesized model. Findings The findings highlight that attitude, subject norms and PBC significantly motivate international students to consume local food. The subject norm toward consuming local food was revealed as the strongest predictor of international students’ intention to consume Malay food. Originality/value Although this is one of the early studies that uses the TPB in assessing the factors that influence international students’ intention to consume local food, this paper is driven by and aimed for practical consideration and thus making a significant contribution to practice. Specifically, the findings of the present study provide important implications for tourism industry practitioners to plan and implement initiatives that may promote local food among international students studying in Malaysian institutions.


2020 ◽  
Vol 25 (4) ◽  
pp. 307-318
Author(s):  
Ayat Ahmadi ◽  
Leila Doshmangir ◽  
Vladimir Sergeevich Gordeev ◽  
Bahareh Yazdizadeh ◽  
Reza Majdzadeh

PurposeUnderreporting of new tuberculosis (TB) cases is one of the main problems in TB control, particularly in countries with high incidence and dominating role of a private sector in TB cases diagnosing. The purpose of this paper was to explore behavioral determinants of underreporting of new TB cases among private sector physicians in Iran.Design/methodology/approachThe authors conducted a population-based, cross-sectional study of physicians working in private clinics. The data collection tool was designed using the theory of planned behavior (TPB). The authors used structural equation models with maximum likelihood estimation to examine attitude toward the notification behavior.FindingsOf 519 physicians, 433 physicians completed the questionnaire. Attitude toward notification had the highest score (mean score = 87.65; sd = 6.79; range: 0–100). The effect of perceived behavioral controls on the notification behavior ((β^) = 0.13; CI: 0.01–0.25) was stronger than the total effect of attitude ((β^) = 0.06; CI: 0.00–0.12) and subjective norms ((β^) = 0.01; CI: −0.00–0.03) on the behavior. However, the attitude was the main predictor of intention and justified 46% of the intention variance. Intention had a significant effect on the behavior ((ß^) = 0.09; CI: 0.1–0.16).Practical implicationsConsidering stronger effect of perceived behavioral control on the behavior, interventions aiming at facilitating notification process would be more effective than those aiming at changing the attitude or enhancing intention among physicians.Originality/valueTo the best of our knowledge, no other study previously explored determinants of underreporting from the behavioral and cognitive perspective. Specifically, the authors explored the role of the TPB constructs in predicting intention to notify new TB cases.


2021 ◽  
Vol 14 (1) ◽  
pp. 276
Author(s):  
Farah Shishan ◽  
Ricardo Mahshi ◽  
Brween Al Kurdi ◽  
Firas Jamil Alotoum ◽  
Muhammad Turki Alshurideh

Due to the growing notion of environmental protection, many restaurants have started to apply operational practices to diminish their carbon footprint, leading to the emergence of “green” restaurants. Green restaurants are establishments committed to minimizing adverse environmental consequences throughout their operations. Nevertheless, further research is warranted to examine consumer behavior in this field. Taking the consumers’ perspective, this study uses an augmented theory of planned behavior (TPB) and a cross-section of 896 British diners to explain their dining intentions towards green restaurants. The extended model of the TPB was tested to justify the addition of past behavior and the impact of sociodemographic characteristics. Using structural equation analysis, the results identified past behavior, perceived behavioral control, subjective descriptive norms, and attitude as critical factors influencing behavioral intention. Furthermore, apart from gender, the relationships between sociodemographics and intentions to dine at green restaurants were insignificant. This research provides insightful implications in the green restaurant domain and suggestions for future research.


Author(s):  
Michael Asamani POBBI

This research investigated the effects of attitude and beliefs, subjective norms, and perceived behavioural control on parents’ home-based and school-based involvement in child education. The paper reports quantitative findings from a cross-sectional survey based on a concurrent mixed design. Primary data was collected from five hundred and sixty (560) parents who were selected randomly from deprived and non-deprived districts across six regions of Ghana. The Cronbach α of reliability for attitude and belief, perceived behavioural control, subjective norm, home-based and school-based involvement exceeded the minimum threshold. Results from structural equation modelling analysis based on a bootstrapping technique reveal that the model of the study was confirmed, as the data showed equivalence to model assessment measures including CFI = 0.979, TLI = 0.975, GFI = 0.942, AGFI = 0.922, RMSEA = 0.049, χ2/df = 2.292. The finding of the study indicated that attitude and beliefs, subjective norms, perceived behavioural control of parents significantly impact home-based involvement, whiles perceived behavioural control and subjective norms of parents had significantly impact on school-based involvement.


2021 ◽  
Vol 17 (4) ◽  
pp. 88-102
Author(s):  
Geoffrey Tanakinjal ◽  
Alesia Gugkang ◽  
Haji Rithuan

In response to global calls for environmental awareness, the Malaysian government enforced restrictions on plastic usage in the Malaysian foodservice industry in 2020. Despite the efforts of public awareness campaigns championing the detrimental effects of traditional plastic usage, the impact of measures taken by food traders remains inadequate. The paper seeks to explore the relationship between subjective norms, perceived behavioral control, attitude, and the intention to use biodegradable straws among food traders. Purposive sampling method, the Structural Equation Model (SEM), and Partial Least Squares (PLS) tools were employed. The sample included 270 respondents. The result found a significant correlation between the four variables, i.e., subjective norms, perceived behavioral control, attitude, and intention to use. Hence, results obtained indicate that conscientious consumers have a significant influence on businesses in their quest to reduce their overall impact on the surrounding environment. Consequently, their socially responsible decisions, i.e., initiatives of using biodegradable products, have advocated mindful consumerism and encouraged positive purchasing behaviors. The results predict increasing demands as an outcome of this accumulated synergy, and this in turn provides more opportunities for food traders and their associated counterparts. The contributions of this study extend toward both theoretical and practical knowledge: (a) better understanding of consumer attitude and how it influences purchase intention, and (b) government regulation and enforcement towards environmental awareness and activities associated with global contributions.


2019 ◽  
Vol 22 (14) ◽  
pp. 2662-2669 ◽  
Author(s):  
Seung Eun Jung ◽  
Yeon Ho Shin ◽  
Alvin Niuh ◽  
Janice Hermann ◽  
Regan Dougherty

AbstractObjective:To examine the effectiveness of the Produce for Better Health Foundation grocery store tour programme as a nutrition education tool for changing consumers’ intention to consume various forms of fruits and vegetables (F&V).Design:Cross-sectional study.Setting:Ten grocery stores in a city in the Southeast USA.Participants:A total of 147 grocery shoppers in Alabama, who participated in a grocery store tour, completed a retrospective pre-/post-survey using the Theory of Planned Behaviour.Results:Results from independent-samples t tests indicated that mean values of attitude, subjective norm and perceived control were significantly increased after store tours (P < 0·01). Participants’ intentions to consume various types of F&V (fresh, dried, canned, juice and frozen), especially dried F&V, increased significantly after store tours. Results from structural equation modelling indicated that before store tours attitude (γ = 0·48, P < 0·01) was the most significant predictor of intention to consume F&V, followed by perceived behavioural control (γ = 0·24, P = 0·02) and subjective norm (γ = 0·21, P = 0·03). After store tours, attitude (γ = 0·51, P < 0·01) and perceived behavioural control (γ = 0·44, P < 0·01) were still strong predictors of intention to consume F&V, while subjective norm became an insignificant predictor of intention.Conclusions:Findings revealed positive changes in study participants’ attitude, subjective norm, perceived behavioural control and their intentions to consume various forms of F&V, which suggest potential benefits of providing grocery store tours as a tool to promote consumers’ F&V intake.


2013 ◽  
Vol 41 (10) ◽  
pp. 1693-1703 ◽  
Author(s):  
Xinming Deng

I conducted a survey to examine the impact of subjective norms, behavioral attitude, and perceived behavioral control on ethical purchase intention with 445 consumers selected by random sampling in Wuhan City, China. Results based on a structural equation model showed that behavioral attitude, subjective norms, and perceived behavioral control all significantly influenced ethical purchase intention of the respondents, with subjective norms being the strongest predictor of ethical purchase intention. Furthermore, perceived behavioral control not only significantly and directly influenced ethical purchase intention but also had an indirect influence on ethical purchase intention through behavioral attitude as a mediator.


2013 ◽  
Vol 3 (3) ◽  
pp. 37-44 ◽  
Author(s):  
Hesamaddin Kamalzadeh takhti ◽  
Azizah Binti Abdul Rahman ◽  
Samireh Abedini

This study employs the combined technology acceptance model (TAM) and theory of planned behavior (TPB) (i.e., C-TAM-TPB) that extended with self-efficacy and knowledge of information technology to examine HIS acceptance by Malaysian nurses. A cross-sectional survey was conducted in three public hospitals in Malaysia to gather data from practicing nurses with experience of using HIS. Structural equation modeling using the partial least squares (PLS) method was utilized to evaluate measurements and structural models. The results stress that a nurses intention was significantly influenced by three factors, including his or her attitude, the subjective norm, and perceived behavioral control. The results also indicate that the model can explain over half of the variance in the intention to use HIS.  


2021 ◽  
Vol 5 (2) ◽  
pp. 145
Author(s):  
Septi Fahmi Choirisa ◽  
Nosica Rizkalla

The impact of the Covid-19 pandemic on restricted mobility, as well as a devastating economic development in various sectors, have change renewed interest in the future of tourism, especially in Hospitality Industry. This study sought to examine the Theory of Planned Behavior in the context of hotel staycation during the Covid-19 pandemic. Paired t-tests and the structural equation modelling were applied to assess the 246 responses of Z generations in Indonesia for the first and second quarters of 2021. The finding showed that attitude, perceived behavioral control, and subjective norms affect the hotel staycation intention during a pandemic for Z generations. Perceived behavioral control plays the most significant part.  Several findings are provided on how the generation perceives traveling during the COVID-19 pandemic and how to encourage them to resume traveling after the travel restriction is lifted. Theoretical and practical implications are discussed. The viewpoint proffered in this study provides scopes of the hospitality industry in terms of hotel staycation programs to maintain a resilient economic strategy during the pandemic.


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