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Mapping the Theoretical Domain Framework to the Consolidated Framework for Implementation Research: do multiple

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|August 24, 2023
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Summary
This summary is machine-generated.

Combining the Theoretical Domain Framework (TDF) and Consolidated Framework for Implementation Research (CFIR) aids implementation research. Analyzing overlaps between TDF and CFIR enhances understanding of determinants for patient-held medication lists (PHML).

Keywords:
Consolidated framework for implementation researchImplementation frameworksMedication safetyTheoretical domains framework

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Area of Science:

  • Implementation Science
  • Health Services Research

Background:

  • The Theoretical Domain Framework (TDF) and Consolidated Framework for Implementation Research (CFIR) are frequently combined in implementation studies.
  • Debate exists regarding the utility of using multiple frameworks, with concerns about potential redundancy.
  • This study investigated the overlap between TDF and CFIR when applied to understanding the adoption of patient-held medication lists (PHML).

Purpose of the Study:

  • To provide guidance on the combined use of TDF and CFIR in implementation research.
  • To assess the degree of overlap between TDF and CFIR constructs in the context of PHML implementation.
  • To identify determinants for the widespread incorporation of PHML into healthcare practice.

Main Methods:

  • Semi-structured telephone interviews were conducted with 39 participants (21 healthcare professionals and 18 non-healthcare professionals).
  • Interview data were transcribed and analyzed using both the TDF and CFIR.
  • Overlap between framework domains was quantified using predefined criteria (substantial, consistent, average, non-substantial).

Main Results:

  • Mapping TDF to CFIR identified key determinants across six TDF domains and five CFIR domains.
  • Substantial overlap was observed, with broad TDF domains linking to specific CFIR constructs (e.g., Environmental context & resources with Intervention Characteristics).
  • Unexpected non-substantial overlap was noted between TDF's Social influences and CFIR's Inner Setting.

Conclusions:

  • Identifying intersections and overlaps between CFIR and TDF enhances the interpretation of implementation research findings.
  • The reciprocal application of TDF and CFIR strengths provided richer data for poorly defined domains.
  • This combined approach facilitated the identification of both implementation and innovation determinants.