Experiences of using the Theoretical Domains Framework across diverse clinical environments: a qualitative study

Cameron Phillips, Andrea Marshall, Nadia Chaves, Stacey Jankelowitz, Ivan Lin, Clement Loy, G Rees, Leenane Sakzewski, Susie Thomas, The-Phung To, Shelley Wilkinson, Susan Michie

    Research output: Contribution to journalArticle

    70 Citations (Scopus)

    Abstract

    Background: The Theoretical Domains Framework (TDF) is an integrative framework developed from a synthesis of psychological theories as a vehicle to help apply theoretical approaches to interventions aimed at behavior change. Purpose: This study explores experiences of TDF use by professionals from multiple disciplines across diverse clinical settings. Methods: Mixed methods were used to examine experiences, attitudes, and perspectives of health professionals in using the TDF in health care implementation projects. Individual interviews were conducted with ten health care professionals from six disciplines who used the TDF in implementation projects. Deductive content and thematic analysis were used. Results: Three main themes and associated subthemes were identified including: 1) reasons for use of the TDF (increased confidence, broader perspective, and theoretical underpinnings); 2) challenges using the TDF (time and resources, operationalization of the TDF) and; 3) future use of the TDF. Conclusion: The TDF provided a useful, flexible framework for a diverse group of health professionals working across different clinical settings for the assessment of barriers and targeting resources to influence behavior change for implementation projects. The development of practical tools and training or support is likely to aid the utility of TDF.

    Original languageEnglish
    Pages (from-to)139-146
    Number of pages8
    JournalJournal of Multidisciplinary Healthcare
    Volume8
    DOIs
    Publication statusPublished - 18 Mar 2015

    Keywords

    • Barriers and enablers
    • Behavioral change
    • Evidence-based practice
    • Health care
    • Implementation
    • Theoretical Domains Framework

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    Phillips, C., Marshall, A., Chaves, N., Jankelowitz, S., Lin, I., Loy, C., Rees, G., Sakzewski, L., Thomas, S., To, T-P., Wilkinson, S., & Michie, S. (2015). Experiences of using the Theoretical Domains Framework across diverse clinical environments: a qualitative study. Journal of Multidisciplinary Healthcare, 8, 139-146. https://doi.org/10.2147/JMDH.S78458