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Making psychological theory useful for implementing evidence based practice: a consensus approach.

S Michie1, M Johnston, C Abraham

  • 1Department of Psychology, University College London, London WC1E 7HB, UK. s.michie@ucl.ac.uk

Quality & Safety in Health Care
|February 5, 2005
PubMed
Summary
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This study developed a consensus on a theoretical framework to improve the implementation of evidence-based practice by identifying key behavior change domains. This framework aids in understanding and strategizing healthcare professional behavior change for better health outcomes.

Area of Science:

  • Health Services Research
  • Health Psychology
  • Behavioral Science

Background:

  • Effective implementation of evidence-based guidelines is crucial for optimal health outcomes but is often hindered by a lack of theoretical understanding of healthcare professional behavior change.
  • This research addresses the need for a robust theoretical framework to guide implementation research and strategy development.

Purpose of the Study:

  • To develop a consensus on a theoretical framework for implementation research.
  • To identify key theoretical constructs for studying and developing strategies for evidence-based practice implementation.
  • To communicate these constructs to an interdisciplinary audience.

Main Methods:

  • A six-phase consensus development process involving experts from psychological theory, health services research, and health psychology.

Related Experiment Videos

  • Identification, simplification, evaluation, and validation of theoretical constructs into domain categories.
  • Piloting of interview questions to refine the framework.

    • Main Results:

    • Twelve key domains of behavior change were identified and agreed upon by expert consensus.
    • These domains include knowledge, skills, beliefs, motivation, environmental context, social influences, and behavioral regulation.
    • The identified domains provide a comprehensive set for analyzing behavior change in implementation research.

    Conclusions:

    • A consensus-based set of behavior change domains is now available for use in implementation research.
    • This framework will enhance the understanding of behavior change processes in implementing evidence-based practice.
    • The proposed domains will be further validated through their application in research.