Validation of the theoretical domains framework for use in behaviour change and implementation research

Cane, James E.; O’Connor, Denise; Michie, Susan

doi:10.1186/1748-5908-7-37

Cited by 3,352 publications

(4,388 citation statements)

References 47 publications

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“…knowledge, skill, professional role and identity and environmental context and resources. 25 TDF was used to provide headings to code the transcripts which were then analysed independently by members of the study team using the Framework Approach. This is a systematic method of categorising large amounts of qualitative data and identifies 'commonalities and differences in qualitative data, before focusing on relationships between different parts of the data, thereby seeking to draw descriptive and/or explanatory conclusions clustered around themes.'…”

Section: Resultsmentioning

confidence: 99%

What supports hospital pharmacist prescribing in Scotland? – A mixed methods, exploratory sequential study

Fisher

Kinnear

Reid

et al. 2018

Research in Social and Administrative Pharmacy

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Section: Resultsmentioning

confidence: 99%

What supports hospital pharmacist prescribing in Scotland? – A mixed methods, exploratory sequential study

Fisher

Kinnear

Reid

et al. 2018

Research in Social and Administrative Pharmacy

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“…First, FBM is merely a model for analysing behaviours, whereas the COM-B is situated within the BCW, which would translate the behavioural analysis into the design of specific intervention features that target those COM-B components to produce the change. Second, developers of the BCW have made deliberate efforts to link each COM-B component with one or more domains under the Theoretical Domain Framework (TDF), an integrative framework that groups behaviour change theories into 14 domains based on overlapping constructs [3]. In a nutshell, the TDF can be seen as a variant of the COM-B model with a more fine-grained classification of facets underlying behaviours.…”

Section: Framework Guiding the Study: Behaviour Change Wheelmentioning

confidence: 99%

“…Semi-structured interviews based on the TDF (see Table 1) were conducted within a week following the collection of diaries. Prior to each interview, the researcher reviewed all diaries and marked specific events or behavioural patterns pertinent to theoretical constructs [3] for elaboration and clarification in interviews. The researcher also transcribed diary entries onto a spreadsheet, which was then used to produce a visual representation of the sit-break pattern for each participant (Fig.…”

Section: Procedures and Materialsmentioning

confidence: 99%

“…According to the TDF, an intention refers to a conscious decision or resolve to act in a certain way, which is relatively stable, whereas a goal is the mental representation of a desired end state, which can become more or less accessible to the person depending on the context [3]. In our sample, 11 participants perceived the hourly break pattern as a desirable end state (i.e.…”

Section: Factors Underlying Micro-break Behavioursmentioning

confidence: 99%

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Office Workers’ Perceived Barriers and Facilitators to Taking Regular Micro-breaks at Work: A Diary-Probed Interview Study

Huang

Benford

Hendrickx

et al. 2017

Persuasive Technology: Development and Implementation of Personalized Technologies to Change Attitudes and Behaviors

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Abstract.Research has suggested regular breaks in sedentary office work are important for health, wellbeing and long-term productivity. Although many computerized break reminders exist, few are based on user needs and requirements as determined by formative research. This paper reports empirical findings from a diaryprobed interview study with 20 office workers on their perceived barriers and facilitators to taking regular micro-breaks at work. This work makes two contributions to the Persuasive Technology (PT) community: a diagnosis of the full range of determinants and levers for changing office work break behaviours; a demonstration of applying the Behaviour Change Wheel (BCW), an intervention development framework originating from Health Psychology, to elicit theory-based design recommendations for a potential PT.

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“…This framework can therefore be used to guide specific interventional strategies to enable behavioural change in practice implementation. 5,10,11 Effectively changing behaviour is critical for the successful implementation of evidence-based practice. 10 Nevertheless, in the past, implementation strategies were often applied with little evidence or rationale.…”

mentioning

confidence: 99%

Closing the gap: applying the Theoretical Domains Framework to improve knowledge translation

Wong

2017

Can J Anesth/J Can Anesth

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Knowledge translation is defined as the ''synthesis, dissemination, exchange and ethically-sound application of knowledge to improve the health of Canadians…''. 1 The lag between the conduct of clinical research and its realization into practice is a vexing problem for health researchers worldwide. 2,3 A knowledge translation time lag of 17 years has often been quoted in the literature, and even then, implementation has ranged from 11-79% of recommended care. 2,3 The past decade has seen an intense interest in knowledge translation and implementation science to address the gap between knowledge and practice more effectively, including identifying the barriers and enablers to implementation. [1][2][3][4][5] With respect to the practice of anesthesiology, the adverse outcomes of inadvertent perioperative hypothermia (IPH) are well known. Yet, despite published guidelines and the wide availability of effective patient warming modalities, the prevalence of IPH remains problematically high. 6 The reasons for the gap between evidence and implementation are poorly understood, particularly as they apply to the practices of anesthesiologists. In their study, Boet et al. 6 interviewed 15 anesthesiologists using the Theoretical Domains Framework (TDF) as a guide in order to understand those factors that promote or hinder anesthesiologists' perioperative temperature management. The authors discovered nine relevant theoretical domains, including those pertaining to uncertainty about the impact on patient outcomes and individual performance, lack of clarity about the guidelines, and the organizational or social environment. The authors make specific recommendations for interventional strategies based on these findings.This study is noteworthy for several reasons. First, it addresses an often overlooked aspect of anesthesia care wherein relatively simple interventions may result in significantly positive impacts on perioperative and economic outcomes. The authors found that the lack of feedback on temperature regulation practices and patient outcomes was an important barrier to effective implementation of the guidelines. Based on this, the authors recommend the development of a comprehensive formal audit and feedback process to improve practices. Interestingly, their finding is in keeping with a recent study by Görges et al. 7 in which pediatric spine anesthesiologists were provided with both individual and team feedback regarding the time delay from the start of the case to the first temperature monitoring. The provision of intraoperative thermoregulation data resulted in a significant and sustained reduction in the time delays for temperature monitoring at the individual and team levels, which underlines the importance of providing feedback for consistency of practice.Second, this study illustrates the usefulness of qualitative methods in clinical research to probe for barriers and enablers to the implementation of practice guidelines. Typically, quantitative methodologies are characterized by deductive testing of pre-set ...

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Validation of the theoretical domains framework for use in behaviour change and implementation research

Cited by 3,352 publications

References 47 publications

What supports hospital pharmacist prescribing in Scotland? – A mixed methods, exploratory sequential study

What supports hospital pharmacist prescribing in Scotland? – A mixed methods, exploratory sequential study

Office Workers’ Perceived Barriers and Facilitators to Taking Regular Micro-breaks at Work: A Diary-Probed Interview Study

Closing the gap: applying the Theoretical Domains Framework to improve knowledge translation

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