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Updated: Apr 28, 2026

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Published on: January 7, 2019
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Relationship among practice change, motivation, and self-efficacy.
Summary
Physician self-efficacy in changing practice positively influences motivation, which then drives the intent to implement continuing medical education (CME) learnings. Motivation mediates this relationship, highlighting self-efficacy
Area of Science:
- Medical Education Research
- Behavioral Science in Medicine
- Healthcare Improvement
Background:
- Previous studies link self-efficacy, motivation, and program implementation.
- Continuing Medical Education (CME) aims to improve practice, but effective implementation is key.
Purpose of the Study:
- To investigate the relationship between self-efficacy, motivation to change, and intent to implement CME learnings.
- To explore the mediating role of motivation in the self-efficacy-intent relationship for practice change.
Main Methods:
- Utilized a 4-item scale for self-efficacy and a 4-item scale for motivation.
- Confirmed scale structures and collected global intent to implement measures.
- Analyzed relationships among self-efficacy constructs, motivation, and intent.
Main Results:
- A significant positive relationship was found between self-efficacy, motivation, and intent to change.
- Self-efficacy in practice change predicted higher motivation.
- Motivation predicted the intent to change practice patterns.
Conclusions:
- Motivation to change mediates the effect of self-efficacy on intent to implement CME learnings.
- Self-efficacy is an important underlying factor for practice change following CME.
- Focusing on physician self-agency may enhance practice improvement initiatives.
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