# The association between attitude, perceived norm, and perceived behavioral control with the provision of Clinical Work-Integrating Care: A reasoned action approach

## TL;DR

This study explores why medical specialists do or do not provide care that integrates health and work, finding that a positive attitude is linked to more frequent provision of this care.

## Contribution

The study applies a reasoned action approach to identify that favorable attitudes, but not perceived norms or control, are associated with providing Clinical Work-Integrating Care.

## Key findings

- A favorable attitude is significantly associated with providing Clinical Work-Integrating Care (CWIC).
- Perceived norm and perceived behavioral control are not significantly associated with CWIC provision.

## Abstract

Clinical Work-Integrating Care (CWIC) brings important attention to issues emerging from the interrelationship between health and work. Yet, for various reasons, CWIC is not routinely delivered in clinical healthcare. This study focuses on why medical specialists do or do not provide CWIC, applying a reasoned action approach.

To examine the associations between attitude, perceived norm, and perceived behavioral control with the provision of CWIC.

A cross-sectional survey was distributed to Dutch medical specialists. Multivariable regression analysis was used to investigate the associations between attitude, perceived norm, and perceived behavioral control on the ability to provide CWIC with the frequency of actual CWIC provision.

In total, 160 medical specialists completed the survey. The sample consisted of 12 surgical specialists (8 %), 113 non-surgical specialists (71 %), and 35 rehabilitation specialists (22 %). After adjustment for confounders, a favorable attitude was significantly associated with providing CWIC (p < .01), while perceived norm and perceived control were not (p = .74 and p = .85, respectively).

Medical specialists who expressed a favorable attitude towards addressing work during consultations were more likely to provide CWIC. Thus, addressing specialists' attitudes is an important element to implementing CWIC.

•Clinical Work-Integrating Care (CWIC) focuses on the link between health and work.•A favorable attitude towards CWIC is associated with increased provision of CWIC.•Higher perception that CWIC is the norm is not associated with more CWIC provision.•Higher perceived behavioral control is not associated with more CWIC provision.

Clinical Work-Integrating Care (CWIC) focuses on the link between health and work.

A favorable attitude towards CWIC is associated with increased provision of CWIC.

Higher perception that CWIC is the norm is not associated with more CWIC provision.

Higher perceived behavioral control is not associated with more CWIC provision.