Accepted for/Published in: JMIR Medical Informatics
Date Submitted: Sep 29, 2020
Date Accepted: May 7, 2021
A measure of Quebec Emergency Health Professionals' Intention to Use Wiki-based Knowledge Tools
ABSTRACT
Background:
Little is known about factors influencing professionals' use of wiki-based knowledge tools.
Objective:
To measure emergency physicians’ (EPs) and allied health professionals’ (AHPs) intention to use wiki-based knowledge tools in trauma care, and identify determinants of this intention that can be used in future theory-based interventions to promote the use of wiki-based knowledge tools in trauma.
Methods:
266 EPs and 907 AHPs from 12 Quebec trauma centers were asked to answer a survey based on the Theory of Planned Behavior. Theory of Planned Behavior constructs were measured using a 7-point Likert scale. Descriptive statistics and Pearson correlations between Theory of Planned Behavior constructs and intention were calculated. Multiple linear regression analysis was conducted to identify salient beliefs.
Results:
Among eligible participants, 152 EPs (57% (152/266) response rate) and 290 AHPs (32% (290/907) response rate) completed the questionnaire. For EPs, we found that attitude, perceived behavioral control, and subjective norms were significant determinants of the intention to use wiki-based knowledge tools (WBKTs) and explained 62% of its variance. None of the sociodemographic variables influenced EPs’ intentions to use WBKTs. The regression model identified two normative beliefs (approval by physicians and approval by patients) and two behavioral beliefs (refreshes my memory and reduces errors). For AHPs, attitude, perceived behavioral control, and subjective norms, as well as two sociodemographic variables (profession and previous personal use of a wiki) were significantly influenced the intention to use wiki-based knowledge tools and explained 60% of the variance of behavioral intention. The final regression model for AHPs included two normative beliefs (approval by hospital trauma team and people less comfortable with information technology), one control belief (time constraints) and one behavioral belief (access to evidence).
Conclusions:
The intentions of EPs and AHPs to use wiki-based knowledge tools to promote best practices in trauma care can be predicted in part by attitude, subjective norms, and perceived behavioral control. We also identified salient beliefs that future theory-based interventions should target to promote the use of wiki-based knowledge tools in trauma. Clinical Trial: N/A
Citation
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