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Title: Experiences of using the Theoretical Domains Framework across diverse clinical environments: a qualitative study.
Austin Authors: Phillips, Cameron J;Marshall, Andrea P;Chaves, Nadia J;Jankelowitz, Stacey K;Lin, Ivan B;Loy, Clement T;Rees, Gwyneth;Sakzewski, Leanne;Thomas, Susie;To, The-Phung ;Wilkinson, Shelley A;Michie, Susan
Affiliation: Pharmacy Department, Austin Health, Heidelberg, Victoria, Australia
University College London Centre for Behaviour Change, Department of Clinical, Educational and Health Psychology, University College, London, UK
Mater Research Institute, The University of Queensland, South Brisbane, QLD, Australia ; Department of Nutrition and Dietetics, Mater Health Services, South Brisbane, QLD, Australia
Physiotherapy Department, Flinders Medical Centre, Bedford Park, SA, Australia ; International Centre for Allied Health Evidence (iCAHE), School of Health Sciences, University of South Australia, Adelaide, SA, Australia
Queensland Cerebral Palsy and Rehabilitation Research Centre, University of Queensland, Brisbane, QLD, Australia
School of Public Health, Sydney Medical School, University of Sydney, Sydney, NSW, Australia ; Huntington Diseases Centre, Westmead Hospital, Westmead, NSW, Australia
Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia
Western Australian Centre for Rural Health, University of Western Australia, Geraldton, WA, Australia
Central Clinical School, Sydney Medical School, University of Sydney, Sydney, NSW, Australia ; Institute of Neurosciences, Royal Prince Alfred Hospital, Sydney, NSW, Australia
Centre for Health Practice Innovation, Griffith Health Institute, Griffith University, Southport, QLD, Australia ; Gold Coast University Hospital, Southport, QLD, Australia
Victorian Infectious Diseases Service, Royal Melbourne Hospital, Parkville, Victoria, Australia
Division of Pharmacy, Flinders Medical Centre, Bedford Park, SA, Australia ; School of Medicine, Flinders University, Adelaide, SA, Australia
Issue Date: 18-Mar-2015
Publication information: Journal of Multidisciplinary Healthcare 2015; 8(): 139-46
Abstract: 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.This study explores experiences of TDF use by professionals from multiple disciplines across diverse clinical settings.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.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.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.
Gov't Doc #: 25834455
DOI: 10.2147/JMDH.S78458
Type: Journal Article
Subjects: Theoretical Domains Framework
barriers and enablers
behavioral change
evidence-based practice
health care
Appears in Collections:Journal articles

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