Experiences of using the Theoretical Domains Framework across diverse clinical environments: a qualitative study
Cameron J Phillips,Andrea Marshall,Nadia Chaves,Stacey K. Jankelowitz,Ivan Lin,Clement T. Loy,Gwyneth Rees,Leanne Sakzewski,Susie Thomas,The‐Phung To,Shelley A. Wilkinson,Susan Michie +11 more
TLDR
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.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.read more
Citations
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Making sense of implementation theories, models and frameworks
TL;DR: A taxonomy that distinguishes between different categories of theories, models and frameworks in implementation science is proposed to facilitate appropriate selection and application of relevant approaches in implementation research and practice and to foster cross-disciplinary dialogue among implementation researchers.
Journal ArticleDOI
A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems
Lou Atkins,Jill J Francis,Jill J Francis,Rafat Islam,Denise O'Connor,Andrea M. Patey,Noah Ivers,Robbie Foy,Eilidh Duncan,Heather Colquhoun,Jeremy M. Grimshaw,Jeremy M. Grimshaw,Rebecca Lawton,Susan Michie +13 more
TL;DR: This guide offers practical guidance for those who wish to apply the Theoretical Domains Framework to assess implementation problems and support intervention design, and provides a brief rationale for using a theoretical approach to investigate and address implementation problems.
Journal ArticleDOI
Ready for eHealth? Health Professionals’ Acceptance and Adoption of eHealth Interventions in Inpatient Routine Care
TL;DR: Although acceptance of eHealth interventions was limited in health professionals of inpatient treatment, moderate acceptance of online aftercare for work-related stress implies a basis for future implementation and addressed misconceptions about inferiority and incongruity with conventional treatment.
Journal ArticleDOI
Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services
Luke Wolfenden,Jannah Jones,Christopher M. Williams,Meghan Finch,Rebecca Wyse,Melanie Kingsland,Flora Tzelepis,John Wiggers,Amanda Williams,Kirsty Seward,Tameka Small,Vivian Welch,Debbie Booth,Sze Lin Yoong +13 more
TL;DR: It is uncertain whether the strategies tested improved the implementation of policies, practices or programmes that promote child healthy eating, physical activity and/or obesity prevention, and is it uncertain whether such interventions improve childcare service staff knowledge or attitudes.
Journal ArticleDOI
Preconditions for successful advance care planning in nursing homes: A systematic review.
Joni Gilissen,Lara Pivodic,Tinne Smets,Chris Gastmans,Robert Vander Stichele,Luc Deliens,Luc Deliens,Lieve Van den Block +7 more
TL;DR: There are multiple preconditions related to successfully implementing advance care planning in the complex nursing home setting that operate at micro, meso and macro level and future interventions need to address these multiple domains and levels in a whole-system approach.
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