A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems.
A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems.
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DOI：
10.1186/s13012-017-0605-9
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发表时间：
2017-06-21
期刊：
影响因子：
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通讯作者：
Michie S
中科院分区：
文献类型：
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作者：
Atkins L;Francis J;Islam R;O'Connor D;Patey A;Ivers N;Foy R;Duncan EM;Colquhoun H;Grimshaw JM;Lawton R;Michie S
实施新的做法需要改变相关行为者的行为，而了解当前和理想行为的决定因素有助于改变行为。理论领域框架（TDF）是由行为科学家和实施研究人员合作开发的，他们确定了与实施相关的理论，并将这些理论的结构分组为领域。合作的目的是提供一个全面的，理论知情的方法，以确定行为的决定因素。第一个版本于2005年发布，经过验证后的后续版本于2012年发布。本指南为那些希望应用TDF评估实施问题和支持干预设计的人提供了实用指导。它提出了一个简短的理由，使用理论方法来调查和解决实施问题，总结了TDF及其发展，并介绍了如何应用TDF实现实施目标。实施研究文献的例子来说明相关的方法和实际考虑。来自加拿大、英国和澳大利亚的研究人员参加了2012年12月举行的为期3天的会议，目的是在对推进TDF使用感兴趣的研究人员和决策者之间建立国际合作。与会者在使用TDF评估执行问题、设计干预措施和/或理解变革过程方面经验丰富。本指南是会议的成果，也借鉴了作者的集体经验。本指南中包含了作者认为具有代表性的TDF具体应用的实施研究文献中的示例。我们解释和说明的方法，重点是定性方法，选择和指定的目标行为的关键实施，选择研究设计，决定抽样策略，开发研究材料，收集和分析数据，并报告基于TDFs的研究结果。需要发展的领域包括对数据进行三角测量的方法，例如从访谈、问卷调查和观察中获得的数据，以及根据基于技术发展框架的问题分析设计干预措施的方法。我们向实施社区提供这份指南，以帮助应用TDF实现实施目标。使用TDF的好处包括为实施研究提供理论基础，很好地涵盖了证据在实践中传播缓慢的潜在原因，以及从基于理论的调查进展到干预的方法。本文的在线版本（doi：10.1186/s13012-017-0605-9）包含补充材料，可供授权用户使用。
Implementing new practices requires changes in the behaviour of relevant actors, and this is facilitated by understanding of the determinants of current and desired behaviours. The Theoretical Domains Framework (TDF) was developed by a collaboration of behavioural scientists and implementation researchers who identified theories relevant to implementation and grouped constructs from these theories into domains. The collaboration aimed to provide a comprehensive, theory-informed approach to identify determinants of behaviour. The first version was published in 2005, and a subsequent version following a validation exercise was published in 2012. This guide offers practical guidance for those who wish to apply the TDF to assess implementation problems and support intervention design. It presents a brief rationale for using a theoretical approach to investigate and address implementation problems, summarises the TDF and its development, and describes how to apply the TDF to achieve implementation objectives. Examples from the implementation research literature are presented to illustrate relevant methods and practical considerations. Researchers from Canada, the UK and Australia attended a 3-day meeting in December 2012 to build an international collaboration among researchers and decision-makers interested in the advancing use of the TDF. The participants were experienced in using the TDF to assess implementation problems, design interventions, and/or understand change processes. This guide is an output of the meeting and also draws on the authors’ collective experience. Examples from the implementation research literature judged by authors to be representative of specific applications of the TDF are included in this guide. We explain and illustrate methods, with a focus on qualitative approaches, for selecting and specifying target behaviours key to implementation, selecting the study design, deciding the sampling strategy, developing study materials, collecting and analysing data, and reporting findings of TDF-based studies. Areas for development include methods for triangulating data, e.g. from interviews, questionnaires and observation and methods for designing interventions based on TDF-based problem analysis. We offer this guide to the implementation community to assist in the application of the TDF to achieve implementation objectives. Benefits of using the TDF include the provision of a theoretical basis for implementation studies, good coverage of potential reasons for slow diffusion of evidence into practice and a method for progressing from theory-based investigation to intervention. The online version of this article (doi:10.1186/s13012-017-0605-9) contains supplementary material, which is available to authorized users.