Evidence map›Paper›PMID 24641907›Full record

ArticleImplementation science : IS2014

Measuring determinants of implementation behavior: psychometric properties of a questionnaire based on the theoretical domains framework.

Johanna M Huijg, Winifred A Gebhardt, Elise Dusseldorp, Marieke W Verheijden, Nicolette van der Zouwe, Barend J C Middelkoop, Mathilde R Crone

2 registry-linked trialsAbstract read
In one paragraph

Article in Implementation science : IS, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 154 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
154citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04091633 nacompletednot on this mapstarted 2019, after this paper: background citation

Evaluating the Effectiveness of Technology Assisted School Mental Health Program to Improve Socio-emotional Wellbeing of School Going Children in Public Schools of Rural Pakistan: A Cluster Randomized Controlled Trial (cRCT)

TypeinterventionalSponsorHuman Development Research Foundation, PakistanRan2019 to 2022Enrolled971ConditionsBehavioral Symptoms, Behavioral Problem, Emotional Problem, Emotional StressArmsWHO School Mental Health Program, Enhanced School Mental Health Program (eSMHP)
NCT07464236 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Partnering to Enhance Anal Health Communication and HIV-related Evidence-based Services

TypeinterventionalSponsorAlbert Einstein College of MedicineRan2026 to 2030Enrolled8ConditionsHIV, Gonorrhea, Chlamydia, Anal Cancer Squamous CellArmsPEACHES 2.0 Implementation Strategies
3 · Its place in the literature

Who cites it

154 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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94 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Johanna M HuijgClinical, Health and Neuropsychology, Leiden University, Wassenaarseweg 52, Leiden, The Netherlands. huijgjm@fsw.leidenuniv.nl.
Winifred A Gebhardt
Elise Dusseldorp
Marieke W Verheijden
Nicolette van der Zouwe
Barend J C Middelkoop
Mathilde R Crone

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo be able to design effective strategies to improve healthcare professionals' implementation behaviors, a valid and reliable questionnaire is needed to assess potential implementation determinants. The present study describes the development of the Determinants of Implementation Behavior Questionnaire (DIBQ) and investigates the reliability and validity of this Theoretical Domains Framework (TDF)-based questionnaire.

methodsThe DIBQ was developed to measure the potential behavioral determinants of the 12-domain version of the TDF (Michie et al., 2005). We identified existing questionnaires including items assessing constructs within TDF domains and developed new items where needed. Confirmatory factor analysis was used to examine whether the predefined structure of the TDF-based questionnaire was supported by the data. Cronbach's alpha was calculated to assess internal consistency reliability of the questionnaire, and domains' discriminant validity was investigated.

resultsWe developed an initial questionnaire containing 100 items assessing 12 domains. Results obtained from confirmatory factor analysis and Cronbach's alpha resulted in the final questionnaire consisting of 93 items assessing 18 domains, explaining 63.3% of the variance, and internal consistency reliability values ranging from .68 to .93. Domains demonstrated good discriminant validity, although the domains 'Knowledge' and 'Skills' and the domains 'Skills' and 'Social/professional role and identity' were highly correlated.

conclusionsWe have developed a valid and reliable questionnaire that can be used to assess potential determinants of healthcare professional implementation behavior following the theoretical domains of the TDF. The DIBQ can be used by researchers and practitioners who are interested in identifying determinants of implementation behaviors in order to be able to develop effective strategies to improve healthcare professionals' implementation behaviors. Furthermore, the findings provide a novel validation of the TDF and indicate that the domain 'Environmental context and resources' might be divided into several environment-related domains.

Indexed as

BehaviorHealth Knowledge, Attitudes, PracticeModels, TheoreticalSurveys and QuestionnairesAdultAttitude of Health PersonnelClinical CompetenceFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedPhysical TherapistsProfessional RolePsychometricsReproducibility of Results

Identifiers

PMID24641907
PMCPMC4000005

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.