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Validation of the theoretical domains framework for use in behaviour change and implementation research

Cane, James E., O'Connor, Denise, Michie, Susan (2012) Validation of the theoretical domains framework for use in behaviour change and implementation research. Implementation Science, 7 (37). ISSN 1748-5908. (doi:10.1186/1748-5908-7-37) (KAR id:29458)

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An integrative theoretical framework, developed for cross-disciplinary implementation and other behaviour change research, has been applied across a wide range of clinical situations. This study tests the validity of this framework.


Validity was investigated by behavioural experts sorting 112 unique theoretical constructs using closed and open sort tasks. The extent of replication was tested by Discriminant Content Validation and Fuzzy Cluster Analysis.


There was good support for a refinement of the framework comprising 14 domains of theoretical constructs (average silhouette value 0.29): 'Knowledge', 'Skills', 'Social/Professional Role and Identity', 'Beliefs about Capabilities', 'Optimism', 'Beliefs about Consequences', 'Reinforcement', 'Intentions', 'Goals', 'Memory, Attention and Decision Processes', 'Environmental Context and Resources', 'Social Influences', 'Emotions', and 'Behavioural Regulation'.


The refined Theoretical Domains Framework has a strengthened empirical base and provides a method for theoretically assessing implementation problems, as well as professional and other health-related behaviours as a basis for intervention development.

Item Type: Article
DOI/Identification number: 10.1186/1748-5908-7-37
Subjects: B Philosophy. Psychology. Religion
Q Science
R Medicine
Divisions: Divisions > Division of Human and Social Sciences > School of Psychology
Depositing User: James Cane
Date Deposited: 15 May 2012 11:27 UTC
Last Modified: 16 Nov 2021 10:07 UTC
Resource URI: (The current URI for this page, for reference purposes)
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