Experiences of using the Theoretical Domains Framework across diverse clinical environments: a qualitative study

Figures & data

Table 1 The domains of the Theoretical Domains Framework (TDF)

TDF domain	Description
Knowledge	An awareness of the existence of something
Skills	An ability or proficiency acquired through practice
Social/professional role and identity	A coherent set of behaviors and displayed personal qualities of an individual in a social or work setting
Beliefs about capabilities	Acceptance of the truth, reality, or validity about an ability, talent, or facility that a person can put to constructive use
Optimism	The confidence that things will happen for the best, or that desired goals will be attained
Beliefs about consequences	Acceptance of the truth, reality, or validity about outcomes of a behavior in a given situation
Reinforcement	Increasing the probability of a response by arranging a dependent relationship, or contingency, between the response and a given stimulus
Intentions	A conscious decision to perform a behavior or a resolve to act in a certain way
Goals	Mental representation of outcomes or end states that an individual wants to achieve
Memory, attention and decision processes	The ability to retain information, focus selectively on aspects of the environment, and choose between two or more alternatives
Environmental context and resources	Any circumstance of a person’s situation or environment that discourages or encourages the development of skills and abilities, independence, social competence, and adaptive behavior
Social influences	Those interpersonal processes that can cause an individual to change their thoughts, feelings, or behaviors
Emotion	A complex reaction pattern, involving experiential, behavioral, and physiological elements, by which the individual attempts to deal with a personally significant matter or event
Behavioral regulation	Anything aimed at managing or changing objectively observed or measured actions

Note: Data from Cane et al.¹¹

Table 2 Participants characteristics and aims of implementation project

Discipline	Aim of implementation project	Setting
Academic health psychology	Integrate psychosocial care into low vision rehabilitation services	Community
Dietetics	Implement nutrition practice guidelines for women with gestational diabetes	Tertiary hospital
Medical	Reduce antipsychotic use in patients with Huntington disease in residential care	Residential care
Medical	Implement an antimicrobial stewardship program in an intensive care unit	Tertiary hospital
Medical	Improve the use of secondary prevention medications after stroke	Tertiary and secondary hospital
Occupational therapy	Increase intensive upper limb training for children with hemiplegia	Community
Pharmacy	Improve vancomycin prescribing and monitoring	Tertiary hospital
Pharmacy	Improve management of medications when patients are fasting or nil by mouth	Tertiary hospital
Physiotherapy	Implement self-management approaches for lower back pain, to educate health practitioner	Community
Physiotherapy	Implement guidelines to prevent falls for patients after hip fracture	Tertiary hospital

Figure 1 Median Likert score by TDF domain.

Abbreviation: TDF, Theoretical Domains Framework.

CaneJO’ConnorDMichieSValidation of the theoretical domains framework for use in behaviour change and implementation researchImplement Sci201273722530986

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