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A Warranted Domain Theory and Developmental Framework for a Web-Based Treatment in Support of Physician Wellness

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A Warranted Domain Theory and Developmental Framework for a Web-Based Treatment in Support of Physician Wellness University of South Florida Scholar Commons Graduate Theses and Dissertations Graduate School January 2013 A Warranted Domain Theory and Developmental Framework for a Web-based Treatment in Support of Physician Wellness David Scott onnelD ly University of South Florida, [email protected] Follow this and additional works at: http://scholarcommons.usf.edu/etd Part of the Instructional Media Design Commons, and the Other Education Commons Scholar Commons Citation Donnelly, David Scott, "A Warranted Domain Theory and Developmental Framework for a Web-based Treatment in Support of Physician Wellness" (2013). Graduate Theses and Dissertations. http://scholarcommons.usf.edu/etd/4469 This Dissertation is brought to you for free and open access by the Graduate School at Scholar Commons. It has been accepted for inclusion in Graduate Theses and Dissertations by an authorized administrator of Scholar Commons. For more information, please contact [email protected]. A Warranted Domain Theory and Developmental Framework for a Web-based Treatment in Support of Physician Wellness by David S. Donnelly A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy Department of Secondary Education College of Education University of South Florida Major Professor: Ann E. Barron, Ed.D. Michael T. Brannick, Ph.D. Robert F. Dedrick, Ph.D. Tina N. Hohlfeld, Ph.D. Date of Approval: March 20, 2013 Keywords: Design-Based Research, Design Research, Developmental Research, Instructional Design, Faculty Physician, Wellness, Python Copyright © 2013, David S. Donnelly Dedication I dedicate this to my wife, Brenda: Thank you for your patience, understanding, and incredible resilience. Our time together has never known a night I was not working on this degree or fretting over something associated with it. I thank God for all that you are, and for blessing me with you. I would also like to thank my family and friends for all their support, and especially Steve Kurpis for his constant encouragement. Acknowledgments This work would not have been possible without the involvement and support of many people. I would first like to thank Dr. Jeff Fabri, Dr. Shelly Stewart, and Dr. Jerry Miller for providing their time, energy, and expertise during the development process. I would also like to acknowledge the support of Dr. Patrick Draves, who lost his battle with illness during the study. I would like to express my appreciated to Dr. Ann Barron, who graciously and with dedication accepted the role of Major Professor relinquished by Dr. James White when he retired. Dr. White was instrumental in guiding the formation of this study, most especially by introducing me to the concept of design-based research. Dr. Tina Hohlfeld, Dr. Robert Dedrick, and Dr. Michael Brannick served admirably as my committee members, providing valuable feedback and guidance along the way. Many others took the time to answer questions and provide critical input needed for this study. For their assistance, I would like to thank Dr. Robert Belsole, Dr. Martha Brown, Dr. John Curran, Dr. Ann DeBaldo, Dr. Frank Fernandez, R.B. Friedlander, J.D., Paula Knauss, and Dr. Stephen Klasko. Additional perspectives were provided by Dr. Gary Wood, Dr. Stephen Russel, and Dr. Patricia Alexander, who also provided the creative acronym for the instructional treatment. Table of Contents List of Tables......................................................................................................................iv List of Figures......................................................................................................................v Abstract...............................................................................................................................vi Chapter One: Introduction...................................................................................................1 Statement of the Problem................................................................................................1 Objective of the Study.....................................................................................................7 Applicable Concepts.......................................................................................................9 Research Questions.......................................................................................................16 Delimitations of the Study............................................................................................17 Limitations....................................................................................................................17 Definition of Terms.......................................................................................................18 Organization of Remaining Chapters............................................................................19 Chapter Two: Literature Synthesis....................................................................................20 Design-based Research.................................................................................................20 Concepts of Wellness....................................................................................................24 Theories of Motivation..................................................................................................32 Motivation in education and training.......................................................................34 Motivational orientation for participation................................................................36 Motivational models used in instructional design....................................................36 Effects of motivational elements in instructional design.........................................37 Health Behavior Change Theories................................................................................39 Continuum theories..................................................................................................40 Health belief model..............................................................................................40 Social cognitive theory........................................................................................42 Theory of planned behavior.................................................................................44 Protection motivation theory...............................................................................45 Theory of interpersonal behavior.........................................................................48 Stage theories............................................................................................................48 Transtheoretical model........................................................................................49 Precaution adoption process model.....................................................................50 Organizational support theories................................................................................52 Social marketing.......................................................................................................54 i Organizing Frameworks................................................................................................55 Human performance technology..............................................................................55 PRECEDE–PROCEED............................................................................................61 Intervention Mapping...............................................................................................62 Summary.......................................................................................................................63 Chapter Three: Method......................................................................................................66 Overview.......................................................................................................................66 Sampling...................................................................................................................67 Participants...............................................................................................................68 Ethical considerations...............................................................................................69 Study design.............................................................................................................70 Preliminary Investigations............................................................................................74 Initial domain theory concepts.................................................................................75 Domain practice perspectives...................................................................................77 Organizational perspectives......................................................................................79 Initial design framework concepts............................................................................82 Phase 1 Treatment Development..................................................................................85 Design style guide....................................................................................................85 Storyboard................................................................................................................86 Development outcome..............................................................................................88
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