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A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems
Lou Atkins1, Jill Francis2,3, Rafat Islam3
1Centre for Behaviour Change, University College London, London, UK. l.atkins@ucl.ac.uk.
Implementation Science : IS
|June 23, 2017
Summary
This guide explains the Theoretical Domains Framework (TDF) for assessing implementation problems and designing interventions. It provides practical methods for using TDF to improve healthcare behavior change and evidence-based practice adoption.
Area of Science:
- Behavioral Science
- Implementation Science
- Health Services Research
Background:
- Understanding behavior change determinants is crucial for implementing new practices.
- The Theoretical Domains Framework (TDF) offers a theory-informed approach to identify behavior determinants.
- The TDF, first published in 2005 and validated in 2012, aids in assessing implementation challenges.
Framework:
- The TDF integrates relevant theories into a comprehensive set of domains.
- It provides a structured way to analyze factors influencing behavior change.
- The framework facilitates a systematic approach to understanding implementation barriers.
Implementation:
- This guide offers practical methods for applying the TDF in research and practice.
- It focuses on qualitative approaches for selecting target behaviors, study design, and data analysis.
- Examples from implementation literature illustrate TDF application and intervention design.
Implications:
- Utilizing the TDF provides a theoretical foundation for implementation studies.
- It helps identify reasons for the slow uptake of evidence into practice.
- The TDF guides the progression from problem analysis to intervention development.
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