title: Validation of the theoretical domains framework for use in behaviour change and implementation research.
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  RESULTS
  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'.
  
  
  CONCLUSIONS
  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.
authors.affiliation: School of Psychology, Keynes College, University of Kent, Canterbury, Kent CT2 7NP, UK.
authors.forename: James
authors.initials: J
authors.lastname: Cane
authors.forename: Denise
authors.initials: D
authors.lastname: O'Connor
authors.forename: Susan
authors.initials: S
authors.lastname: Michie
mesh_terms: D000328:Adult; D032763:Behavior Control / Q000379:methods / Q000592:standards*; D001521:Behavior Therapy / Q000379:methods / Q000592:standards*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D055815:Young Adult