Theories of behaviour change synthesised into a set of theoretical groupings: introducing a thematic series on the theoretical domains framework
TLDR
The TDF provides a useful conceptual basis for assessing implementation problems, designing interventions to enhance healthcare practice, and understanding behaviour-change processes and two major strengths are its theoretical coverage and its capacity to elicit beliefs that could signify key mediators of behaviour change.Abstract:
Behaviour change is key to increasing the uptake of evidence into healthcare practice. Designing behaviour-change interventions first requires problem analysis, ideally informed by theory. Yet the large number of partly overlapping theories of behaviour makes it difficult to select the most appropriate theory. The need for an overarching theoretical framework of behaviour change was addressed in research in which 128 explanatory constructs from 33 theories of behaviour were identified and grouped. The resulting Theoretical Domains Framework (TDF) appears to be a helpful basis for investigating implementation problems. Research groups in several countries have conducted TDF-based studies. It seems timely to bring together the experience of these teams in a thematic series to demonstrate further applications and to report key developments. This overview article describes the TDF, provides a brief critique of the framework, and introduces this thematic series. In a brief review to assess the extent of TDF-based research, we identified 133 papers that cite the framework. Of these, 17 used the TDF as the basis for empirical studies to explore health professionals’ behaviour. The identified papers provide evidence of the impact of the TDF on implementation research. Two major strengths of the framework are its theoretical coverage and its capacity to elicit beliefs that could signify key mediators of behaviour change. The TDF provides a useful conceptual basis for assessing implementation problems, designing interventions to enhance healthcare practice, and understanding behaviour-change processes. We discuss limitations and research challenges and introduce papers in this series.read more
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A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems
Lou Atkins,Jill J Francis,Jill J Francis,Rafat Islam,Denise O'Connor,Andrea M. Patey,Noah Ivers,Robbie Foy,Eilidh Duncan,Heather Colquhoun,Jeremy M. Grimshaw,Jeremy M. Grimshaw,Rebecca Lawton,Susan Michie +13 more
TL;DR: This guide offers practical guidance for those who wish to apply the Theoretical Domains Framework to assess implementation problems and support intervention design, and provides a brief rationale for using a theoretical approach to investigate and address implementation problems.
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Theories of behaviour and behaviour change across the social and behavioural sciences: a scoping review
TL;DR: The primary aim of this paper is to identify theories of behaviour and behaviour change of potential relevance to public health interventions across four scientific disciplines: psychology, sociology, anthropology and economics.
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Interventions to improve the appropriate use of polypharmacy for older people
Susan Patterson,Cathal A. Cadogan,Ngaire Kerse,Christopher Cardwell,Marie C. Bradley,Cristín Ryan,Carmel Hughes +6 more
TL;DR: It is unclear whether interventions to improve appropriate polypharmacy, such as pharmaceutical care, resulted in clinically significant improvement; however, they appear beneficial in terms of reducing inappropriate prescribing.
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Behaviour change techniques: the development and evaluation of a taxonomic method for reporting and describing behaviour change interventions (a suite of five studies involving consensus methods, randomised controlled trials and analysis of qualitative data)
Susan Michie,Caroline E Wood,Marie Johnston,Marie Johnston,Charles Abraham,Jill J Francis,Wendy Hardeman +6 more
TL;DR: The developed taxonomy (BCTTv1) provides a methodology for identifying content of complex BCIs and a foundation for international cross-disciplinary collaboration for developing more effective interventions to improve health.
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From Theory-Inspired to Theory-Based Interventions: A Protocol for Developing and Testing a Methodology for Linking Behaviour Change Techniques to Theoretical Mechanisms of Action
Susan Michie,Rachel N Carey,Marie Johnston,Alexander J. Rothman,Marijn de Bruin,Michael Kelly,L. Connell +6 more
TL;DR: A formal methodology for linking BCTs to their hypothesised mechanisms of action can contribute to the development and evaluation of behaviour change interventions and is a step towards developing a behaviour change ‘ontology’.
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