Personal determinants of change agents’ decision-making behavior in community health promotion: a qualitative study

Abstract Background Implementing environmental changes to promote healthier communities requires initial positive decisions by change agents from local politics and government. However, there is little research on what influences the change agents' decisions. This explorative, qualitative study...

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Main Authors: Lisa Paulsen, Lea Benz, Christina Müller, Birgit Wallmann-Sperlich, Jens Bucksch
Format: Article
Language:English
Published: BMC 2023-09-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-16590-y
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author Lisa Paulsen
Lea Benz
Christina Müller
Birgit Wallmann-Sperlich
Jens Bucksch
author_facet Lisa Paulsen
Lea Benz
Christina Müller
Birgit Wallmann-Sperlich
Jens Bucksch
author_sort Lisa Paulsen
collection DOAJ
description Abstract Background Implementing environmental changes to promote healthier communities requires initial positive decisions by change agents from local politics and government. However, there is little research on what influences the change agents' decisions. This explorative, qualitative study aims to identify the personal determinants of the decision-making behavior of local change agents. Methods We conducted semi-structured interviews to assess the personal determinants of decision-making behavior among 22 change agents from local politics and government. Relevant determinants were identified through a structured content analysis of the interview transcripts using the software MAXQDA 2020. Results We found the following seven essential clusters of personal determinants of the decision-making behavior of change agents from local politics and government: Imprinting, socialization, and biography; experiences and involvement; attitudes and outcome expectations towards important issues and aspects; knowledge; emotions; personal benefits; and the perceived influences of others. Conclusions The identified personal determinants might serve as a source of understanding the decision-making behavior of change agents in community decision-making processes. Our findings can contribute to the effective planning and implementation of evidence-based multilevel interventions related to changing environmental conditions in communities and provide important information on which personal determinants should be considered when derive strategies for community health promotion within a systematic approach of developing an intervention program theory.
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spelling doaj.art-30da133b79ec4af3a0468be967fe1d072023-11-26T14:29:29ZengBMCBMC Public Health1471-24582023-09-0123111110.1186/s12889-023-16590-yPersonal determinants of change agents’ decision-making behavior in community health promotion: a qualitative studyLisa Paulsen0Lea Benz1Christina Müller2Birgit Wallmann-Sperlich3Jens Bucksch4Department of Prevention and Health Promotion, Heidelberg University of EducationDepartment of Prevention and Health Promotion, Heidelberg University of EducationInstitute of Sport Science, University of WürzburgInstitute of Sport Science, University of WürzburgDepartment of Prevention and Health Promotion, Heidelberg University of EducationAbstract Background Implementing environmental changes to promote healthier communities requires initial positive decisions by change agents from local politics and government. However, there is little research on what influences the change agents' decisions. This explorative, qualitative study aims to identify the personal determinants of the decision-making behavior of local change agents. Methods We conducted semi-structured interviews to assess the personal determinants of decision-making behavior among 22 change agents from local politics and government. Relevant determinants were identified through a structured content analysis of the interview transcripts using the software MAXQDA 2020. Results We found the following seven essential clusters of personal determinants of the decision-making behavior of change agents from local politics and government: Imprinting, socialization, and biography; experiences and involvement; attitudes and outcome expectations towards important issues and aspects; knowledge; emotions; personal benefits; and the perceived influences of others. Conclusions The identified personal determinants might serve as a source of understanding the decision-making behavior of change agents in community decision-making processes. Our findings can contribute to the effective planning and implementation of evidence-based multilevel interventions related to changing environmental conditions in communities and provide important information on which personal determinants should be considered when derive strategies for community health promotion within a systematic approach of developing an intervention program theory.https://doi.org/10.1186/s12889-023-16590-yDeterminantsDecision-makingPlanningImplementationIntervention mappingChange agents
spellingShingle Lisa Paulsen
Lea Benz
Christina Müller
Birgit Wallmann-Sperlich
Jens Bucksch
Personal determinants of change agents’ decision-making behavior in community health promotion: a qualitative study
BMC Public Health
Determinants
Decision-making
Planning
Implementation
Intervention mapping
Change agents
title Personal determinants of change agents’ decision-making behavior in community health promotion: a qualitative study
title_full Personal determinants of change agents’ decision-making behavior in community health promotion: a qualitative study
title_fullStr Personal determinants of change agents’ decision-making behavior in community health promotion: a qualitative study
title_full_unstemmed Personal determinants of change agents’ decision-making behavior in community health promotion: a qualitative study
title_short Personal determinants of change agents’ decision-making behavior in community health promotion: a qualitative study
title_sort personal determinants of change agents decision making behavior in community health promotion a qualitative study
topic Determinants
Decision-making
Planning
Implementation
Intervention mapping
Change agents
url https://doi.org/10.1186/s12889-023-16590-y
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