National Institute for Health and Care Research

A Guide to Using the Theoretical Domains Framework of Behaviour Change to Investigate Implementation Problems

Atkins et al. (2017) provide practical guidance on using the Theoretical Domains Framework (TDF) to identify barriers and facilitators to behaviour change in implementation research.

The authors present the TDF as a comprehensive, theory-informed framework for understanding the behavioural determinants that influence implementation success. Drawing together constructs from multiple behaviour change theories, the framework helps researchers and practitioners systematically identify cognitive, social, emotional, and environmental influences on behaviour. The paper outlines practical methods for applying the TDF, including defining target behaviours, collecting and analysing qualitative data, and designing implementation interventions. Overall, the guide provides a structured approach for diagnosing implementation challenges and developing theory-informed solutions to support practice change.

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