Welcome to another edition of the NIHR Applied Research Collaboration Improvement Science theme Snapshot series. In this video, Dr Andria Hanbury (Bradford Institute for Health Research) discusses approaches to identifying and overcoming barriers to improving clinical practice.
References
- Cane, J., O’Conner, D., & Michie, S. (2012). Validation of the theoretical domains framework for use in behaviour change and implementation research. Implementation Science, 7(37). DOI 10.1186/1748-5908-7-37
- Michie., S., Johnston, M., Abraham, C., Lawton, R., Parker, D., Walker, A., et al. (2005). Making psychological theory useful for implementation evidence based practice: a consensus approach. Quality and safety in Health Care, 14 (1): 26-33. DOI: 10.1136/qshc.2004.011155.
- Nilsen, P. (2015). Making sense of implementation theories, models and frameworks. Implementation Science, 10: 53. Doi: 10.1186/s13012-015-0242-0.
Further reading
Example frameworks and theories to guide barrier identification.
- Damschroder, L.J., Aron, D.C., Keith, R.E., Kirsh, S.R., Alexander, J.A., Lowery, J.C. (2009). Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implementation Science. 4:50. DOI 10.1186/1748-5908-4-50
- Rogers, E.M. (2003). Diffusion of Innovations. 5th ed. New York: Free Press.
- May, C., Finch, T. (2009). Implementing, embedding and integrating practices: an outline of Normalization Process Theory. Sociology. 43:535. DOI: 10.1177/0038038509103208.
Selected publications on the robustness of barrier identification.
- Hanbury, A., Farley, K., & Thompson, C. (2015). Cost and feasibility: an exploratory case study comparing the use of a literature review method with questionnaires, interviews and focus groups to identify barriers for a behaviour change intervention. BMC Health Services Research, 15: 211. DOI: 10.1186/s12913-015-0877-1.
- Krause, J., Van Lieshout, J., Klomp, R., Huntink, E., Aakhus, E., Flottorp, S., et al. (2014). Identifying determinants of care for tailoring implementation in chronic diseases: an evaluation of different methods. Implementation Science, 9:102. DOI: 10.1186/s13012-014-0102-3.
Selected publications outlining how to identify barriers using the TDF.
- Atkins, L., Francis, J., Islam, R. et al. (2017). A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implementation Sci, 12, 77. DOI: 10.1186/s13012-017-0605-9
Selected publications illustrating the literature review approach to barrier identification.
- Atkins, L., Sallis, A., Chadborn, T., Shaw, K., Schneider, A., Hopkins, S., Bunten, A., Michie, S., & Lorencatto, F. (2020). Reducing catheter-associated urinary tract infections: a systematic review of barriers and facilitators and strategic behavioural analysis of interventions. Implementation Science, 15: 44. DOI: 10.1186/s13012-020-01001-2.
- Hanbury, A., Sallis, A., Chadborn, T., Arber, M., Sanderson, A., Durlik, C., and Wood, H. (2020). Retrospective coding of health care professional cancer screening behaviours and of real-world interventions designed to optimise them: identifying recommendations to optimise intervention design. British Journal of Health Psychology. DOI: 10.1111/bjhp.12491