The ITHBC Model Analysis

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I enjoyed the fact that you chose the ITHBC model to exemplify closing the quality gap. I believe that this model would act as a good starting point for initiating change because it helps to discover the root of the problem and understand what truly needs to be done in order to initiate change. In addressing the quality gap Wachter and Owens (2004) explain the necessitation of investigator focus on strategies for closing the quality gap; they state that “In one early analysis, Greco and Eisenberg described six possible interventions to improve uptake (adoption) of improved treatment practices: education, feedback, participation by physicians in efforts to bring about change, administrative rules, financial incentives, and financial penalties” (p. 8). “The ITHBC purports health behavior change can be enhanced by fostering knowledge and beliefs, increasing self-regulation skills and abilities, and enhancing social facilitation” (p. 5). The ITHBC model incorporates many of these aspects, which are central to initiation of change, and therefore central to the initiation of understanding and closing the quality gap. …show more content…

(2009). Integrated Theory of Health Behavior Change: Background and Intervention Development. Clinical Nurse Specialist CNS, 23(3), 161–172. doi:10.1097/NUR.0b013e3181a42373

Wachter, R.M. & Owens, D.K. (2004). Chapter 1: Closing the quality gap: A critical analysis of quality improvement strategies IN Shojania KG, McDonald KM, Wachter RM, Owens DK. Closing The Quality Gap: A Critical Analysis of Quality Improvement Strategies, Volume 1—Series Overview and Methodology. Technical Review 9. AHRQ Publication No. 04-0051-1. Rockville, MD: Agency for Healthcare Research and Quality. August

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