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.
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.
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, Health Equity
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.
Kubi B, Enumah ZO, Lee KT, Freund KM, Smith TJ, Cooper LA, Owczarzak JT, Johnston FM. Theory-Based Development of an Implementation Intervention Using Community Health Workers to Increase Palliative Care Use. J Pain Symptom Manage. 2020 Jul;60(1):10-19. doi: 10.1016/j.jpainsymman.2020.02.009. Read this resource View Case 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.