Table 2 Themes and subthemes relating to Theoretical Domains Framework Implementation (TDFI) challenges
Theme | Subtheme | Subtheme definition |
|---|---|---|
Challenges related to using theory underpinning the TDFI approach | Accessibility of theory | Ease of which the theory can be understood and applied; access to support from theory experts. |
Commitment to theory | Issues relating to participants’ understanding of the value of theory in eliciting behaviour change, and subsequent adherence to the use of theory at the prescribed stages of the research project. | |
Problem complexity | Issues around the processes leading to the outcome, here the processes leading to identification and referral of patients flagged at high risk of Lynch syndrome. | |
Practical (or context) challenges | Navigating the system (and system changes) | Issues around governance and ethical regulatory requirements; understanding of local politics and tacit behaviours/cultural factors Constant changes affecting teams and processes, such as introduction of new IT systems. |
Stakeholder management | Issues related to multiple stakeholders across different disciplines and departments. | |
Perceptions of the problem | Issues around the perceived effort one should invest in the identified problem; lack of awareness about generalisability of solutions across contexts. |