@article{01GQPMD984D9GV7VQMJJGDP1C4,
  abstract     = {{Background: Behavioral theories are often used to better understand and change health-promoting behaviors and develop evidence-based interventions. However, researchers often lack of knowledge on how to use these theories in palliative care and people confronted with serious illness. Clear examples or guidelines are needed. Aim: To describe how behavioral theories can be used to gain insight into critical factors of health-promoting behavior in seriously ill people, using a case example of "starting a conversation about palliative care with the physician" for people with incurable cancer. Methods: We used a health promotion approach. Step 1: We chose a theory. Step 2: We applied and adapted the selected theory by performing interviews with the target population which resulted in a new behavioral model. Step 3: We operationalized the factors of this model. An expert group checked content validity. We tested the questionnaire cognitively. Step 4: We conducted a survey study and performed logistic regression analyses to identify the most important factors. Results: Step 1: We selected the Theory of Planned Behavior. Step 2: This theory was applicable to the target behavior, but needed extending. Step 3: The final survey included 131 items. Step 4: Attitudinal factors were the most important factors associated with the target behavior of starting a conversation about palliative care with the physician. Conclusions: This paper describes a method applied to a specific example, offering guidance for researchers and practitioners interested in understanding and changing a target behavior and its factors in seriously ill people.}},
  author       = {{Scherrens, Anne-Lore and Deforche, Benedicte and Deliens, Luc and Cohen, Joachim and Beernaert, Kim}},
  issn         = {{0269-2163}},
  journal      = {{PALLIATIVE MEDICINE}},
  keywords     = {{Anesthesiology and Pain Medicine,General Medicine,health communication,palliative care,critical illness,behavioral theory,behavior,Health promotion}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{402--412}},
  publisher    = {{SAGE Publications}},
  title        = {{Using behavioral theories to study health-promoting behaviors in palliative care research}},
  url          = {{http://doi.org/10.1177/02692163221147946}},
  volume       = {{37}},
  year         = {{2023}},
}

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