Cited by 230Behavioral Health and InterventionsHealth Policy Implementation ScienceBehavioral and Psychological Studies

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Evidence‐based selection of theories for designing behaviour change interventions: Using methods based on theoretical construct domains to understand clinicians' blood transfusion behaviour

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Francis, Jill J., Stockton, Charlotte, Eccles, Martin P., Johnston, Marie, Cuthbertson, Brian H., Grimshaw, Jeremy M., Hyde, Chris, Tinmouth, Alan, Stanworth, Simon J.·2009·British Journal of Health Psychology

DOI 10.1348/135910708x397025

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Abstract

Background Many theories of behaviour are potentially relevant to predictive and intervention studies but most studies investigate a narrow range of theories. Michie et al. (2005) agreed 12 ‘theoretical domains’ from 33 theories that explain behaviour change. They developed a ‘Theoretical Domains Interview’ (TDI) for identifying relevant domains for specific clinical behaviours, but the framework has not been used for selecting theories for predictive studies. It was used here to investigate clinicians' transfusion behaviour in intensive care units (ICU). Evidence suggests that red blood cells transfusion could be reduced for some patients without reducing quality of care. Objectives (1) To identify the domains relevant to transfusion practice in ICUs and neonatal intensive care units (NICUs), using the TDI. (2) To use the identified domains to select appropriate theories for a study predicting transfusion behaviour. Methods An adapted TDI about managing a patient with borderline haemoglobin by watching and waiting instead of transfusing red blood cells was used to conduct semi‐structured, one‐to‐one interviews with 18 intensive care consultants and neonatologists across the UK. Results Relevant theoretical domains were: knowledge , beliefs about capabilities , beliefs about consequences , social influences, behavioural regulation . Further analysis at the construct level resulted in selection of seven theoretical approaches relevant to this context: Knowledge‐Attitude‐Behaviour Model, Theory of Planned Behaviour, Social Cognitive Theory, Operant Learning Theory, Control Theory, Normative Model of Work Team Effectiveness and Action Planning Approaches. Conclusions This study illustrated, the use of the TDI to identify relevant domains in a complex area of inpatient care. This approach is potentially valuable for selecting theories relevant to predictive studies and resulted in greater breadth of potential explanations than would be achieved if a single theoretical model had been adopted.

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Self-citation
Improving clinical practice in intensive care: Implementation of an evidence based protocol for bowel management
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Authors: Francis, J. J., Stockton, C., Eccles, M. P., Johnston, M., Cuthbertson, B. H., Grimshaw, J. M., Hyde, C., Tinmouth, A., & Stanworth, S. J.
Affiliations: University of Aberdeen (GB)
Newcastle University (GB)
University of Ottawa (CA)
Corresponding author: Francis, Jill J.
ORCID: Francis, Jill J.
Johnston, Marie
Cuthbertson, Brian H.
Grimshaw, Jeremy M.
Hyde, Chris
Tinmouth, Alan
Stanworth, Simon J.
Venue: British Journal of Health Psychology
Publisher: Wiley
Published: 2009-11
Volume: 14
Issue: 4
Pages: 625-646
ISSN: 1359-107X (ISSN-L)
2044-8287
DOI: 10.1348/135910708x397025
OpenAlex: W2063492576
Cited by: 230
References: 33
Citations by year: 2026: 9 · 2025: 8 · 2024: 10 · 2023: 14 · 2022: 19 · 2021: 15 · 2020: 21 · 2019: 19 · 2018: 15 · 2017: 16 · 2016: 10 · 2015: 16 · 2014: 16 · 2013: 14 · 2012: 12
FWCI: 10.59
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 418 d)
Locations: British Journal of Health Psychology (publishedVersion)
PubMed (publishedVersion)
Aberdeen University Research Archive (Aberdeen University) (acceptedVersion)
Newcastle University ePrints (Newcastle Univesity)
Funders: Scottish Government
Chief Scientist Office, Scottish Government Health and Social Care Directorate
Topics: Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
Keywords: clinicians, intensive care unit, neonatal intensive care unit, Theoretical Domains Framework, behaviour change interventions, red blood cell transfusion, theory of planned behavior, social cognitive theory, control theory, action planning, theory choice
MeSH terms: Adult, Behavior Therapy, Blood Transfusion, Female, United Kingdom, Humans, Intensive Care Units, Neonatal, Interviews as Topic, Male, Middle Aged, Models, Theoretical, Practice Patterns, Physicians', Quality of Health Care, Evidence-Based Medicine

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Evidence‐based selection of theories for designing behaviour change interventions: Using methods based on theoretical construct domains to understand clinicians' blood transfusion behaviour

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