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dc.contributor.authorMorena, Alexandra L
dc.contributor.authorGaias, Larissa M
dc.contributor.authorLarkin, Celine
dc.date.accessioned2023-05-24T13:53:22Z
dc.date.available2023-05-24T13:53:22Z
dc.date.issued2022-07-13
dc.identifier.citationMorena AL, Gaias LM, Larkin C. Understanding the Role of Clinical Champions and Their Impact on Clinician Behavior Change: The Need for Causal Pathway Mechanisms. Front Health Serv. 2022 Jul 13;2:896885. doi: 10.3389/frhs.2022.896885. PMID: 36925794; PMCID: PMC10012807.en_US
dc.identifier.eissn2813-0146
dc.identifier.doi10.3389/frhs.2022.896885en_US
dc.identifier.pmid36925794
dc.identifier.urihttp://hdl.handle.net/20.500.14038/52114
dc.description.abstractBackground: The clinical champion approach is a highly utilized implementation strategy used to mitigate barriers and improve outcomes of implementation efforts. Clinical champions are particularly effective at addressing provider-level barriers and promoting provider-behavior change. Yet, the specific causal pathways that explain how clinical champions impact provider behavior change have not been well-explicated. The current paper applies behavior change models to develop potential causal pathway mechanisms. Methods: The proposed mechanisms are informed by previous literature involving clinical champions and empirically supported behavior change models. These models are applied to link specific attributes to different stages of behavior change and barriers for providers. Results: Two unique pathway mechanisms were developed, one that explicates how providers develop intention to use EBPs, while the other explicates how providers transition to EBP use and sustainment. Clinical champions may promote intention development through behavioral modeling and peer buy-in. In contrast, champions promote behavioral enactment through skill building and peer mentorship. Conclusion: Clinical champions likely play a critical role in reducing provider implementation barriers for providers across various phases of behavior change. The proposed pathways provide potential explanations for how clinical champions promote provider behavior change. Future research should prioritize empirically testing causal pathway mechanisms.en_US
dc.language.isoenen_US
dc.relation.ispartofFrontiers in Health Servicesen_US
dc.relation.urlhttps://doi.org/10.3389/frhs.2022.896885en_US
dc.rightsCopyright © 2022 Morena, Gaias and Larkin. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.en_US
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectbarriersen_US
dc.subjectbehavior changeen_US
dc.subjectchampionen_US
dc.subjectimplementationen_US
dc.subjectstrategiesen_US
dc.titleUnderstanding the Role of Clinical Champions and Their Impact on Clinician Behavior Change: The Need for Causal Pathway Mechanismsen_US
dc.typeJournal Articleen_US
dc.source.journaltitleFrontiers in health services
dc.source.volume2
dc.source.beginpage896885
dc.source.endpage
dc.source.countrySwitzerland
dc.identifier.journalFrontiers in health services
refterms.dateFOA2023-05-24T13:53:23Z
dc.contributor.departmentEmergency Medicineen_US


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Copyright © 2022 Morena, Gaias and Larkin. This is an open-access article
distributed under the terms of the Creative Commons Attribution License (CC BY).
The use, distribution or reproduction in other forums is permitted, provided the
original author(s) and the copyright owner(s) are credited and that the original
publication in this journal is cited, in accordance with accepted academic practice.
No use, distribution or reproduction is permitted which does not comply with these
terms.
Except where otherwise noted, this item's license is described as Copyright © 2022 Morena, Gaias and Larkin. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.