Table 2.
Explaining intentions to use the guideline: linear regression analyses, N = 867
| Predictor variables | Univariate | Multivariate | |
|---|---|---|---|
| b (95% confidence interval) | b (95% confidence interval) | β | |
| Participant characteristics | |||
| Age | −0.01 (− 0.01;0.00)** | 0.01 (− 0.01;0.01) | 0.06 |
| Gender (male) | − 0.28 (− 0.39;-0.16)*** | − 0.07 (− 0.17;0.03) | − 0.04 |
| Profession | |||
| GP (ref.) | 0 | 0 | |
| Addiction specialist | 0.28 (0.01;0.55)* | 0.02 (− 0.25;0.30) | 0.01 |
| Anaesthesiologist | −0.52 (− 0.75;-0.28)*** | − 0.22 (− 0.46;0.03) | −0.07 |
| Cardiologist | −0.45 (− 0.70;-.19)** | −0.29 (− 0.53;-0.05)* | −0.08* |
| Internist | −0.49 (− 0.73;-0.35)*** | −0.26 (− 0.49;-0.02)* | −0.08* |
| Neurologist | −0.49 (− 0.73;-0.25)*** | −0.17 (− 0.42;0.07) | −0.05 |
| Paediatrician | −0.03 (− 0.32;0.26) | − 0.05 (− 0.32;0.22) | −0.01 |
| Pulmonologist | − 0.20 (− 0.40;0.01) | −0.21 (− 0.39;-0.02)* | −0.08* |
| Other | −0.36 (− 0.62;-0.9) | −0.09 (− 0.34;0.16) | −0.02 |
| Surgeon | −0.46 (− 0.69;-0.23)*** | −0.12 (− 0.35;0.12) | −0.04 |
| Youth specialist | −0.32 (− 0.58;-0.06)* | −0.23 (− 0.48;0.02) | −0.06 |
| Dental hygienist | −0.25 (− 0.49; 0.00)* | −0.09 (− 0.34;0.17) | 0.03 |
| Dentist | −0.20 (− 0.53;0.14) | 0.14 (− 0.17;0.45) | 0.03 |
| Midwife | 0.55 (0.32;0.78)*** | 0.24 (0.00;0.49) | 0.07 |
| Years worked | −0.01 (− 0.01; 0.00)* | −0.01 (− 0.02;0.00)* | −0.15* |
| SCC training | 0.39 (0.27;0.52)*** | −0.06 (− 0.18;0.07) | −0.03 |
| Smoking status | |||
| Never (ref.) | 0 | ||
| Ex-smoker | −0.14 (−0.27;-0.01)* | − 0.05 (− 0.16;0.05) | −0.03 |
| Current | −0.25 (− 0.51; 0.01) | −0.12 (− 0.33;0.09) | −0.03 |
| Psychosocial factors | |||
| Attitude | 0.55 (0.49; 0.60)*** | 0.33 (0.26;0.39)*** | 0.33*** |
| Knowledge | 0.21 (0.16; 0.26)*** | 0.03 (−0.03;0.08) | 0.03 |
| Skills | 0.25 (0.19; 0.30)*** | 0.08 (0.03;0.14)** | 0.09** |
| Social support | 0.29 (0.23; 0.34)*** | 0.09 (0.04;0.15)** | 0.10** |
| Role identity | 0.42 (0.38;0.47)*** | 0.16 (0.11;0.22)*** | 0.20*** |
| Outcome expectations | 0.37 (0.30; 0.44)*** | 0.04 (−0.02;0.15) | 0.04 |
| Lack of traininga | −0.08 (− 0.13;-0.04)** | 0.05 (0.00;0.09) | 0.06 |
| Guideline factors | |||
| Agreement content | 0.54 (0.45;0.62)*** | 0.15 (0.06;0.24)** | 0.11** |
| Guideline presence | 0.21 (0.09;0.33)** | −0.10 (−0.24;0.04) | −0.06 |
| Guideline familiarity | |||
| Unfamiliar (ref.) | 0 | 0 | |
| Heard of | 0.31 (0.18;0.44)*** | 0.17 (0.06;0.28)** | 0.09** |
| Read | 0.59 (0.46;0.73)*** | 0.19 (0.03;0.35)* | 0.10* |
| Lack of guideline adaptabilitya | −0.15 (−0.20;-0.08)*** | 0.02 (−0.04;0.09) | 0.02 |
| Guideline complexitya | −0.20 (− 0.27;-0.13)*** | −0.03 (− 0.10;0.04) | −0.03 |
| Environmental factors | |||
| Collaboration primary care | 0.15 (0.03;0.28)* | 0.01 (−0.10;0.12) | 0.00 |
| Collaboration secondary care | 0.24 (0.08;0.40)** | 0.05 (−0.09;0.17) | 0.02 |
| Financial budget | 0.03 (−0.10;0.16) | ||
| Lack of patient reimbursementa | 0.02 (−0.03;0.08) | ||
| Lack of professional rewardsa | −0.04 (− 0.09;0.01) | ||
| Lack of timea | −0.08 (− 0.13; − 0.02)** | 0.00 (− 0.06;0.05) | 0.00 |
| Task interferencea | −0.10 (− 0.16;-0.05)*** | −0.03 (− 0.09;0.03) | −0.04 |
| Lack of materialsa | −0.07 (− 0.13;-0.01)* | 0.03 (− 0.02;0.08) | 0.04 |
| Lack of referral possibilitiesa | −0.04 (− 0.10;0.02) | ||
| Patient barriers | |||
| Smoking sensitive subjecta | 0.02 (−0.03;0.07) | ||
| Negative towards smoking cessation carea | −0.02 (− 0.08;0.04) | ||
| Unmotivated to quita | −0.03 (− 0.09;0.03) | ||
| Dishonest about smokinga | 0.00 (−0.06; 0.06) | ||
| Impact patient-provider relationshipa | −0.02 (− 0.09;0.05) | ||
Multivariate model R2 = 0.48, Model F (37,829) = 20.55, p < .001
GP general practitioner, ‘Other’ profession includes ophthalmologists, SCC smoking cessation care; abarriers to guideline implementation and provision of smoking cessation care
*p < .05, ** p < .01, *** p < .001