Theoretical Domains Framework

Theoretical Domains Framework

D and/or I:
The focus on dissemination and/or implementation activities. D-only focuses on an active approach of spreading evidence-based interventions to target audience via determined channels using planned strategies. D=I, D>I, and I>D means there is some focus on both dissemination and implementation. I-only focuses on process of putting to use or integrating evidence-based interventions within a setting.


Socio-Ecological Levels:
The level of the framework at which the model operates. Individual includes personal characteristics; Organization includes hospitals, service organizations, and factories; Community includes local government and neighborhoods; System includes hospital systems and government; Policy includes changes in policy.


Number of Times Cited:
The # of times the original publication for the model was cited as indicated by Google Scholar since 2016.


Field of Origin:
The field of study in which the model originated.

Health Psychology

Whether the model is for the use of practitioners and/or researchers.

Researcher and Practitioner

Name of the construct developed by classifying/aligning the elements abstracted from models.

Adopter/implementer/decision maker characteristics, Awareness, Barriers and facilitators, Development of an Intervention, Evaluation, Strategies

The original publication(s) of the model.

Simon D French, Sally E Green, Denise A O’Connor, Joanne E McKenzie, Jill J Francis, Susan Michie, Rachelle Buchbinder, Peter Schattner, Neil Spike and Jeremy M Grimshaw. Developing theory-informed behaviour change interventions to implement evidence into practice: a systematic approach using the Theoretical Domains Framework. Implementation Science 2012;7:38 Cane J, O'Connor D, Michie S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implementation Science 2012;7:37 Lou Atkins, Jill Francis, Rafat Islam, Denise O’Connor, Andrea Patey, Noah Ivers, Robbie Foy, Eilidh M. Duncan, Heather Colquhoun, Jeremy M. Grimshaw, Rebecca Lawton and Susan Michie A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implementation Science 2017;12:77

Citations of studies that have used the model as an outline for their study.

Asselin J, Osunlana AM, Ogunleye AA, Sharma AM, Campbell-Scherer D. Challenges in interdisciplinary weight management in primary care: lessons learned from the 5As Team study. Clinical Obesity 2016, 6:124-132.

Birken SA, Presseau J, Ellis SD, Gerstel AA, Mayer DK. Potential determinants of health-care professionals’ use of survivorship care plans: a qualitative study using the theoretical domains framework. Implementation science : IS 2014, 9:167.

Cane J, O’Connor D, Michie S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci. 2012 Apr 24;7:37. doi: 10.1186/1748-5908-7-37.

Curran JA, Brehaut J, Patey AM, Osmond M, Stiell I, Grimshaw JM.Understanding the Canadian adult CT head rule trial: use of the theoretical domains framework for process evaluation. Implement Sci. 2013 Feb 21;8:25. doi: 10.1186/1748-5908-8-25.

De Leo A, Bayes S, Bloxsome D, Butt J. Exploring the usability of the COM-B model and Theoretical Domains Framework (TDF) to define the helpers of and hindrances to evidence-based practice in midwifery. Implement Sci Commun. 2021 Jan 12;2(1):7. doi: 10.1186/s43058-020-00100-x.

Dennis S, Reddel HK, Middleton S, Hasan I, Hermiz O, Phillips R, Crockett AJ, Vagholkar S, Marks GB, Zwar N. Barriers and outcomes of an evidence-based approach to diagnosis and management of chronic obstructive pulmonary disease (COPD) in Australia: a qualitative study. Family practice 2016:1-6.

Hirschhorn AD, Kolt GS, Brooks AJ. A multicomponent theory-based intervention improves uptake of pelvic floor muscle training before radical prostatectomy: A ‘before and after’ cohort study. BJU International 2014, 113:383-392.

Huijg JM, Gebhardt WA, Crone MR, Dusseldorp E, Presseau J. Discriminant content validity of a theoretical domains framework questionnaire for use in implementation research. Implement Sci. 2014 Jan 15;9:11. doi: 10.1186/1748-5908-9-11.

Murphy AL, Gardner DM, Kutcher SP, Martin-misener R. A theory-informed approach to mental health care capacity building for pharmacists. International journal of Mental health s 2014, 8.

Patey AM, Islam R, Francis JJ, Bryson GL, Grimshaw JM; Canada PRIME Plus Team. Anesthesiologists’ and surgeons’ perceptions about routine pre-operative testing in low-risk patients: application of the Theoretical Domains Framework (TDF) to identify factors that influence physicians’ decisions to order pre-operative tests. Implement Sci. 2012 Jun 9;7:52. doi: 10.1186/1748-5908-7-52.

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