Understanding the stakeholders’ intention to use economic decision-support tools: a cross-sectional study with the tobacco return on investment tool

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• dc.contributor.author Cheung, Kei Long
• dc.contributor.author Evers, Silvia M. A. A.
• dc.contributor.author Hiligsmann, Mickaël
• dc.contributor.author Vokó, Zoltán
• dc.contributor.author Pokhrel, Subhash
• dc.contributor.author Jones, Teresa
• dc.contributor.author Muñoz, Celia
• dc.contributor.author Wolfenstetter, Silke B.
• dc.contributor.author Józwiak-Hagymásy, Judit
• dc.contributor.author de Vries, Hein
• dc.date.accessioned 2023-11-28T07:10:47Z
• dc.date.available 2023-11-28T07:10:47Z
• dc.date.issued 2016
• dc.description.abstract Background. Despite an increased number of economic evaluations of tobacco control interventions, the uptake by stakeholders continues to be limited. Understanding the underlying mechanism in adopting such economic decision-support tools by stakeholders is therefore important. By applying the I-Change Model, this study aims to identify which factors determine potential uptake of an economic decision-support tool, i.e., the Return on Investment tool. Methods. Stakeholders (decision-makers, purchasers of services/pharma products, professionals/service providers, evidence generators and advocates of health promotion) were interviewed in five countries, using an I-Change based questionnaire. MANOVA's were conducted to assess differences between intenders and non-intenders regarding beliefs. A multiple regression analysis was conducted to identify the main explanatory variables of intention to use an economic decision-support tool. Findings. Ninety-three stakeholders participated. Significant differences in beliefs were found between non-intenders and intenders: risk perception, attitude, social support, and self-efficacy towards using the tool. Regression showed that demographics, pre-motivational, and motivational factors explained 69% of the variation in intention. Discussion. This study is the first to provide a theoretical framework to understand differences in beliefs between stakeholders who do or do not intend to use economic decision-support tools, and empirically corroborating the framework. This contributes to our understanding of the facilitators and barriers to the uptake of these studies.
• dc.description.sponsorship European Community's Seventh Framework Programme Grant no. 602270. The funding had no role in study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the article for publication.
• dc.format.mimetype application/pdf
• dc.identifier.citation Cheung KL, Evers SMAA, Hiligsmann M, Vokó Z, Pokhrel S, Jones T, et al. Understanding the stakeholders’ intention to use economic decision-support tools: a cross-sectional study with the tobacco return on investment tool. Health Policy. 2016 Jan;120(1):46-54. DOI: 10.1016/j.healthpol.2015.11.004
• dc.identifier.doi http://dx.doi.org/10.1016/j.healthpol.2015.11.004
• dc.identifier.issn 0168-8510
• dc.identifier.uri http://hdl.handle.net/10230/58401
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.ispartof Health Policy. 2016 Jan;120(1):46-54
• dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/602270
• dc.rights This article is available under the Creative Commons CC-BY-NC-ND license and permits non-commercial use of the work as published, without adaptation or alteration provided the work is fully attributed.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
• dc.subject.keyword Health policy
• dc.subject.keyword Decision-support tool
• dc.subject.keyword Economic evaluations
• dc.subject.keyword Uptake
• dc.subject.keyword Tobacco control
• dc.title Understanding the stakeholders’ intention to use economic decision-support tools: a cross-sectional study with the tobacco return on investment tool
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion