A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems

Implementation Science

Volumn 12, Issue 1, 2017, Pages

  Atkins, Lou ^a   Francis, Jill ^b,c   Islam, Rafat ^c   O'Connor, Denise ^d   Patey, Andrea ^c   Ivers, Noah ^e   Foy, Robbie ^f   Duncan, Eilidh M ^g   Colquhoun, Heather ^h   Grimshaw, Jeremy M ^c,i   Lawton, Rebecca ^j   Michie, Susan ^a  

^a UNIVERSITY COLLEGE LONDON   (United Kingdom)

^b CITY UNIVERSITY   (United Kingdom)

^c OTTAWA HOSPITAL RESEARCH INSTITUTE   (Canada)

^d MONASH UNIVERSITY   (Australia)

^e WOMEN S COLLEGE HOSPITAL   (Canada)

^f UNIVERSITY OF LEEDS   (United Kingdom)

^g UNIVERSITY OF ABERDEEN   (United Kingdom)

^h UNIVERSITY OF TORONTO   (Canada)

ⁱ UNIVERSITY OF OTTAWA   (Canada)

^j UNIVERSITY OF LEEDS   (United Kingdom)

more..

Author keywords

Guide; Methods; Theoretical Domains Framework

Indexed keywords

AUSTRALIA; BEHAVIOR CHANGE; CANADA; DIFFUSION; EXERCISE; HUMAN; INTERVIEW; QUESTIONNAIRE; SAMPLING; SCIENTIST; STUDY DESIGN; THEORETICAL MODEL; VALIDATION PROCESS; CONSENSUS DEVELOPMENT; HEALTH BEHAVIOR; HEALTH CARE PLANNING; HEALTH SERVICES RESEARCH; MASS COMMUNICATION; PROCEDURES; UNITED KINGDOM;

AUSTRALIA; CANADA; DIFFUSION OF INNOVATION; HEALTH BEHAVIOR; HEALTH PLAN IMPLEMENTATION; HEALTH SERVICES RESEARCH; HUMANS; UNITED KINGDOM;

EID: 85021108916     PISSN: None     EISSN: 17485908     Source Type: Journal    
DOI: 10.1186/s13012-017-0605-9     Document Type: Article

References (83)

1. Eccles M, Grimshaw J, Walker A, Johnston M, Pitts N. Changing the behavior of healthcare professionals: the use of theory in promoting the uptake of research findings. J Clin Epidemiol. 2005;58(2):107-12.
2. Foy R, Eccles MP, Jamtvedt G, Young J, Grimshaw JM, Baker R. What do we know about how to do audit and feedback? Pitfalls in applying evidence from a systematic review. BMC Health Serv Res. 2005;5:50. doi: 10.1186/1472-6963-5-50.
3. Dixon-Woods M, Bosk CL, Aveling EL, Goeschel CA, Pronovost PJ. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):167-205.
4. Eccles MP, Grimshaw JM, MacLennan G, Bonetti D, Glidewell L, Pitts NB, et al. Explaining clinical behaviors using multiple theoretical models. Implement Sci. 2012;7:99. doi: 10.1186/1748-5908-7-99.
5. Michie S. Designing and implementing behaviour change interventions to improve population health. J Health Serv Res Policy. 2008;13(3):64-9.
6. The Improved Clinical Effectiveness through Behavioural Research Group (ICEBeRG). Designing theoretically-informed implementation interventions. Implement Sci. 2006;1(1):4. doi: 10.1186/1748-5908-1-4.
7. Michie S, Johnston M, Francis J, Hardeman W, Eccles M. From theory to intervention: mapping theoretically derived behavioural determinants to behaviour change techniques. Appl Psychol. 2008;57(4):660-80.
8. Davies P, Walker AE, Grimshaw JM. A systematic review of the use of theory in the design of guideline dissemination and implementation strategies and interpretation of the results of rigorous evaluations. Implement Sci. 2010;5(1):14. doi: 10.1186/1748-5908-5-14.
9. Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M, et al. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008;337:a1655. https://doi.org/10.1136/bmj.a1655.
10. Foy R, Ovretveit J, Shekelle PG, Pronovost PJ, Taylor SL, Dy S, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf. 2011;20(5):453-9.
11. Michie S, Prestwich A. Are interventions theory-based? Development of a theory coding scheme. Health Psychol. 2010;29(1):1-8.
12. Michie S, Webb TL, Sniehotta FF. The importance of making explicit links between theoretical constructs and behaviour change techniques. Addiction. 2010;105(11):1897-8.
13. Baker R, Camosso-Stefinovic J, Gillies C, Shaw EJ, Cheater F, Flottorp S, et al. Tailored interventions to address determinants of practice. Cochrane Database of Systematic Reviews. 2015;4:CD005470. doi: 10.1002/14651858.CD005470.pub3.
14. Colquhoun HL, Brehaut JC, Sales A, Ivers N, Grimshaw J, Michie S, et al. A systematic review of the use of theory in randomized controlled trials of audit and feedback. Implement Sci. 2013;8:66. doi: 10.1186/1748-5908-8-66.
15. Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A, et al. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care. 2005;14(1):26-33.
16. Cane J, O'Connor D, Michie S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci. 2012;7:37. doi: 10.1186/1748-5908-7-37.
17. Kolehmainen N, Francis JJ, Ramsay CR, Owen C, McKee L, Ketelaar M, et al. Participation in physical play and leisure: developing a theory- and evidence-based intervention for children with motor impairments. BMC Pediatr. 2011;11:100. doi: 10.1186/1471-2431-11-100.
18. Nicholson SL, Donaghy M, Johnston M, Sniehotta FF, van Wijck F, Johnston D, et al. A qualitative theory guided analysis of stroke survivors' perceived barriers and facilitators to physical activity. Disabil Rehabil. 2014;36(22):1857-68.
19. Honigh-de Vlaming R, Haveman-Nies A, Heinrich J, van't Veer P, de Groot LC. Effect evaluation of a two-year complex intervention to reduce loneliness in non-institutionalised elderly Dutch people. BMC Public Health. 2013;13:984.
20. Taylor N, Lawton R, Conner M. Development and initial validation of the determinants of physical activity questionnaire. Int J Behav Nutr Phys Act. 2013;10:74. doi: 10.1186/1479-5868-10-74.
21. Phillips CJ, Marshall AP, Chaves NJ, Jankelowitz SK, Lin IB, Loy CT, et al. Experiences of using the Theoretical Domains Framework across diverse clinical environments: a qualitative study. J Multidiscip Healthc. 2015;8:139-46.
22. Davis R, Campbell R, Hildon Z, Hobbs L, Michie S. Theories of behaviour and behaviour change across the social and behavioural sciences: a scoping review. Health Psychol Rev. 2015;9(3):323-44.
23. Francis JJ, O'Connor D, Curran J. Theories of behaviour change synthesised into a set of theoretical groupings: introducing a thematic series on the theoretical domains framework. Implement Sci. 2012;7:35. https://implementationscience.biomedcentral.com/articles/10.1186/1748-5908-7-35.
24. Michie S, Pilling S, Garety P, Whitty P, Eccles MP, Johnston M, et al. Difficulties implementing a mental health guideline: an exploratory investigation using psychological theory. Implement Sci. 2007;2:8.
25. Francis JJ, Stockton C, Eccles MP, Johnston M, Cuthbertson BH, Grimshaw JM, et al. Evidence-based selection of theories for designing behaviour change interventions: using methods based on theoretical construct domains to understand clinicians' blood transfusion behaviour. Br J Health Psychol. 2009;14(Pt 4):625-46.
26. Islam R, Tinmouth AT, Francis JJ, Brehaut JC, Born J, Stockton C, et al. A cross-country comparison of intensive care physicians' beliefs about their transfusion behaviour: a qualitative study using the Theoretical Domains Framework. Implement Sci. 2012;7:93.
27. McSherry LA, Dombrowski SU, Francis JJ, Murphy J, Martin CM, O'Leary JJ, et al. 'It's a can of worms': understanding primary care practitioners' behaviours in relation to HPV using the theoretical domains framework. Implement Sci. 2012;7(1):73.
28. Patey AM, Islam R, Francis JJ, Bryson GL, Grimshaw JM, Canada PPT. Anesthesiologists' and surgeons' perceptions about routine pre-operative testing in low-risk patients: application of the Theoretical Domains Framework (TDF) to identify factors that influence physicians' decisions to order pre-operative tests. Implement Sci. 2012;7:52.
29. Duncan EM, Francis JJ, Johnston M, Davey P, Maxwell S, McKay GA, et al. Learning curves, taking instructions, and patient safety: using a theoretical domains framework in an interview study to investigate prescribing errors among trainee doctors. Implement Sci. 2012;7:86.
30. Bussieres AE, Patey AM, Francis JJ, Sales AE, Grimshaw JM, Canada PPT, et al. Identifying factors likely to influence compliance with diagnostic imaging guideline recommendations for spine disorders among chiropractors in North America: a focus group study using the Theoretical Domains Framework. Implement Sci. 2012;7:82.
31. Murphy K, O'Connor DA, Browning CJ, French SD, Michie S, Francis JJ, et al. Understanding diagnosis and management of dementia and guideline implementation in general practice: a qualitative study using the theoretical domains framework. Implement Sci. 2014;9:31.
32. Tavender EJ, Bosch M, Gruen RL, Green SE, Knott J, Francis JJ, et al. Understanding practice: the factors that influence management of mild traumatic brain injury in the emergency department-a qualitative study using the Theoretical Domains Framework. Implement Sci. 2014;9:8.
33. Dyson J, Lawton R, Jackson C, Cheater F. Does the use of a theoretical approach tell us more about hand hygiene behaviour? The barriers and levers to hand hygiene. J Infect Prev. 2011;12:17-24.
34. Amemori M, Michie S, Korhonen T, Murtomaa H, Kinnunen TH. Assessing implementation difficulties in tobacco use prevention and cessation counselling among dental providers. Implement Sci. 2011;6:50.
35. Beenstock J, Sniehotta FF, White M, Bell R, Milne EM, Araujo-Soares V. What helps and hinders midwives in engaging with pregnant women about stopping smoking? A cross-sectional survey of perceived implementation difficulties among midwives in the North East of England. Implement Sci. 2012;7:36.
36. French SD, Green SE, O'Connor DA, McKenzie JE, Francis JJ, Michie S, et al. Developing theory-informed behaviour change interventions to implement evidence into practice: a systematic approach using the Theoretical Domains Framework. Implement Sci. 2012;7:38.
37. McKenzie JE, O'Connor DA, Page MJ, Mortimer DS, French SD, Walker BF, et al. Improving the care for people with acute low-back pain by allied health professionals (the ALIGN trial): a cluster randomised trial protocol. Implement Sci. 2010;5:86.
38. Tavender EJ, Bosch M, Gruen RL, Green SE, Michie S, Brennan SE, et al. Developing a targeted, theory-informed implementation intervention using two theoretical frameworks to address health professional and organisational factors: a case study to improve the management of mild traumatic brain injury in the emergency department. Implement Sci. 2015;10:74.
39. Backman R, Foy R, Michael BD, Defres S, Kneen R, Solomon T. The development of an intervention to promote adherence to national guidelines for suspected viral encephalitis. Implement Sci. 2015;10:37.
40. Taylor N, Lawton R, Moore S, Craig J, Slater B, Cracknell A, et al. Collaborating with front-line healthcare professionals: the clinical and cost effectiveness of a theory based approach to the implementation of a national guideline. BMC Health Serv Res. 2014;14:648. doi: 10.1186/s12913-014-0648-4.
41. Curran JA, Brehaut J, Patey AM, Osmond M, Stiell I, Grimshaw JM. Understanding the Canadian adult CT head rule trial: use of the theoretical domains framework for process evaluation. Implement Sci. 2013;8. doi: 10.1186/1748-5908-8-25.
42. Cane J, Richardson M, Johnston M, Ladha R, Michie S. From lists of behaviour change techniques (BCTs) to structured hierarchies: comparison of two methods of developing a hierarchy of BCTs. Br J Health Psychol. 2015;20(1):130-50.
43. Michie S, Atkins L, West R. The Behaviour Change Wheel-a guide to designing interventions. Great Britain: Silverback Publishing; 2014.
44. Gainforth H, Sheals K, Atkins L, Jackson R, Michie S. Developing interventions to change recycling behaviors: a case study of applying behavioral science. J Appl Environ Educ Commun. 2016;15:4. http://dx.doi.org/10.1080/1533015X.2016.1241166.
45. Presseau J, Francis JJ, Campbell NC, Sniehotta FF. Goal conflict, goal facilitation, and health professionals' provision of physical activity advice in primary care: an exploratory prospective study. Implement Sci. 2011;6:73.
46. Fishbein M. Readings in attitude theory and measurement. New York: Wiley; 1967.
47. Francis J, Eccles MP, Johnston M, Walker AE, Grimshaw JM, Foy R, Kaner EFS, et al. Constructing questionnaires based on the theory of planned behaviour: a manual for health services researchers. Newcastle upon Tyne: Centre for Health Services Research; 2004.
48. Taylor N, Parveen S, Robins V, Slater B, Lawton R. Development and initial validation of the Influences on Patient Safety Behaviours Questionnaire. Implement Sci. 2013;8. doi: 10.1186/1748-5908-8-81.
49. Huijg JM, Gebhardt WA, Crone MR, Dusseldorp E, Presseau J. Discriminant content validity of a theoretical domains framework questionnaire for use in implementation research. Implement Sci. 2014;9. doi: 10.1186/1748-5908-9-11.
50. Ferlie EB, Shortell SM. Improving the quality of health care in the United Kingdom and the United States: a framework for change. Milbank Q. 2001;79(2):281-315.
51. Miller DT, Ross M. Self-serving biases in the attribution of causality: fact or fiction. Psychol Bull. 1975;82:213-25.
52. Zuckerman M. Attribution of success and failure revisited, or: the motivational bias is alive and well in attribution theory. J Pers. 1979;47:245-87.
53. Squires JE, Suh KN, Linklater S, Bruce N, Gartke K, Graham ID, et al. Improving physician hand hygiene compliance using behavioural theories: a study protocol. Implement Sci. 2013;8. doi: 10.1186/1748-5908-8-16.
54. Steinmo S, Fuller C, Stone SP, Michie S. Characterising an implementation intervention in terms of behaviour change techniques and theory: the 'Sepsis Six' clinical care bundle. Implement Sci. 2015;10:111.
55. O'Cathain A, Murphy E, Nicholl J. Three techniques for integrating data in mixed methods studies. BMJ. 2010;341:c4587.
56. Francis JJ, Johnston M, Robertson C, Glidewell L, Entwistle V, Eccles MP, et al. What is an adequate sample size? Operationalising data saturation for theory-based interview studies. Psychol Health. 2010;25:1229-45.
57. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277-88.
58. Glaser BG, Strauss AL. The discovery of grounded theory: strategies for qualitative research. Chicago: Aldine 1967.
59. Charmaz K. Constructing grounded theory: a practical guide through qualitative analysis. London, Thousand Oaks, New Delhi: Sage Publications Limited; 2006.
60. Ritchie J, Spencer L, O'Connor W, et al. Carrying out qualitative analysis. In: Ritchie J, Lewis J, editors. Qualitative research practice: a guide for social science students and researchers. London: Sage 2003. p. 219-62.
61. Morse J. Determining sample size. Qual Health Res. 2000;10:305.
62. Birkimer JC, Brown JH. Back to basics: percentage agreement measures are adequate, but there are easier ways. J Appl Behav Anal. 1979;12(4):535-43.
63. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159-74.
64. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101.
65. Marks DF and Yardley L. Research methods for clinical and health psychology. London: Sage 2004.
66. May CR, Mair F, Finch T, MacFarlane A, Dowrick C, Treweek S, et al. Development of a theory of implementation and integration: Normalization Process Theory. Implement Sci. 2009;4(1):29.
67. Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50.
68. Lawton R, McEachan RR, Giles SJ, Sirriyeh R, Watt IS, Wright J. Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review. BMJ Qual Saf. 2012;21(5):369-80.
69. French SD, McKenzie JE, O'Connor DA, Grimshaw JM, Mortimer D, Francis JJ, et al. Evaluation of a theory-informed implementation intervention for the management of acute low back pain in general medical practice: the IMPLEMENT Cluster Randomised Trial. PloS One. 2013;8(6):e65471. doi: 10.1371/journal.pone.0065471.
70. Page MJ, French SD, McKenzie JE, O'Connor DA, Green SE. Recruitment difficulties in a primary care cluster randomised trial: investigating factors contributing to general practitioners' recruitment of patients. BMC Med Res Methodol. 2011;11:35.
71. McKenzie JE, French SD, O'Connor DA, Grimshaw JM, Mortimer D, Michie S, et al. IMPLEmenting a clinical practice guideline for acute low back pain evidence-based manageMENT in general practice (IMPLEMENT): cluster randomised controlled trial study protocol. Implement Sci. 2008;3:11.
72. Taylor N, Lawton R, Slater B, Foy R. The demonstration of a theory-based approach to the design of localized patient safety interventions. Implement Sci. 2013;8. doi: 10.1186/1748-5908-8-123.
73. Rushforth B, McCrorie C, Glidewell L, Midgley E, Foy R. Barriers to effective management of type 2 diabetes in primary care: qualitative systematic review. Br J Gen Pract. 2016;66(643):e114-27.
74. Little EA, Presseau J, Eccles MP. Understanding effects in reviews of implementation interventions using the Theoretical Domains Framework. Implement Sci. 2015;10:90.
75. Cuthbertson BH, Campbell MK, MacLennan G, Duncan EM, Marshall AP, Wells EC, et al. Clinical stakeholders' opinions on the use of selective decontamination of the digestive tract in critically ill patients in intensive care units: an international Delphi study. Crit Care. 2013;17(6):R266. doi: 10.1186/cc13096.
76. Cuthbertson BH, Francis J, Campbell MK, MacIntyre L, Seppelt I, Grimshaw J, et al. A study of the perceived risks, benefits and barriers to the use of SDD in adult critical care units (The SuDDICU study). Trials. 2010;11:117. doi: 10.1186/1745-6215-11-117.
77. Dombrowski SU, Prior ME, Duncan E, Cuthbertson BH, Bellingan G, Campbell MK, et al. Clinical components and associated behavioural aspects of a complex healthcare intervention: multi-methods study of selective decontamination of the digestive tract in critical care. Aust Crit Care. 2013;26(4):173-9.
78. Francis JJ, Duncan EM, Prior ME, MacLennan GS, Dombrowski SU, Bellingan G, et al. Selective decontamination of the digestive tract in critically ill patients treated in intensive care units: a mixed-methods feasibility study (the SuDDICU study). Health Technol Assess. 2014;18(25):1-170. doi: 10.3310/hta18250.
79. Duncan EM, Cuthbertson BH, Prior ME, Marshall AP, Wells EC, Todd LE, et al. The views of health care professionals about selective decontamination of the digestive tract: an international, theoretically informed interview study. J Crit Care. 2014;29(4):634-40.
80. Marshall AP, Weisbrodt L, Rose L, Duncan E, Prior M, Todd L, et al. Implementing selective digestive tract decontamination in the intensive care unit: a qualitative analysis of nurse-identified considerations. Heart Lung. 2014;43(1):13-8.
81. Atkins L, Hunkeler EM, Jensen CD, Michie S, Lee JK, Doubeni CA, et al. Factors influencing variation in physician adenoma detection rates: a theory-based approach for performance improvement. Gastrointest Endosc. 2016;83(3):617-26.e2.
82. Squires JE, Linklater S, Grimshaw JM, Graham ID, Sullivan K, Bruce N, et al. Understanding practice: factors that influence physician hand hygiene compliance. Infect Control Hosp Epidemiol. 2014;35(12):1511-20.
83. Heslehurst N, Newham J, Maniatopoulos G, Fleetwood C, Robalino S, Rankin J. Implementation of pregnancy weight management and obesity guidelines: a meta-synthesis of healthcare professionals' barriers and facilitators using the Theoretical Domains Framework. Obes Rev. 2014;15(6):462-86.