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Factors influencing the adoption of an innovation: An examinationof the uptake of the Canadian Heart Health Kit (HHK)
Faculty of Nursing, University of Alberta, Edmonton, AB, Canada,
Centre for Health Promotion Studies, School of Public Health,University of Alberta, Edmonton, AB, Canada,
Faculty of Physical Education & Recreation, University of Alberta, Edmonton, AB, Canada,
AlbertaCentre for Active Living, University of Alberta, Edmonton, AB, Canada and
Department of Ambulatory Care and Community Medicine,University of Lausanne, Lausanne, SwitzerlandEmail: ShannonDScottfirstname.lastname@example.org; RonaldCPlotnikoffemail@example.com;NandiniKarunamunifirstname.lastname@example.org; RaphaëlBizeemail@example.com; WendyRodgersfirstname.lastname@example.org* Corresponding author
There is an emerging knowledge base on the effectiveness of strategies to close theknowledge-practice gap. However, less is known about how attributes of an innovation and othercontextual and situational factors facilitate and impede an innovation's adoption. The Healthy HeartKit (HHK) is a risk management and patient education resource for the prevention of cardiovascular disease (CVD) and promotion of cardiovascular health. Although previous studieshave demonstrated the HHK's content validity and practical utility, no published study hasexamined physicians' uptake of the HHK and factors that shape its adoption.
Conceptually informed by Rogers' Diffusion of Innovation theory, and Theory of Planned Behaviour, this study had two objectives: (1) to determine if specific attributes of the HHKas well as contextual and situational factors are associated with physicians' intention and actualusage of the HHK kit; and (2), to determine if any contextual and situational factors are associatedwith individual or environmental barriers that prevent the uptake of the HHK among thosephysicians who do not plan to use the kit.
A sample of 153 physicians who responded to an invitation letter sent to all familyphysicians in the province of Alberta, Canada were recruited for the study. Participating physicianswere sent a HHK, and two months later a study questionnaire assessed primary factors on thephysicians' clinical practice, attributes of the HHK (relative advantage, compatibility, complexity,trialability, observability), confidence and control using the HHK, barriers to use, and individualattributes. All measures were used in path analysis, employing a causal model based on Rogers'Diffusion of Innovations Theory and Theory of Planned Behaviour.
115 physicians (follow up rate of 75%) completed the questionnaire. Use of the HHK wasassociated with intention to use the HHK, relative advantage, and years of experience. Relativeadvantage and the observability of the HHK benefits were also significantly associated withphysicians' intention to use the HHK. Physicians working in solo medical practices reportedexperiencing more individual and environmental barriers to using the HHK.
Published: 2 October 2008