J Francis
Biographic Data
| ID | 33840 |
|---|---|
| NAME | J Francis |
| GIVEN NAMES | J |
| FAMILY NAME | Francis |
| SIGNATURE | FRANCIS J |
| AFFILIATIONS | University of Aberdeen |
| ORCID | 0000-0001-5784-8895 |
| VERIFIED | Yes |
| TOTAL WORKS | 18 |
| TOTAL CITATIONS | 178 |
| AUTHOR COUNT | 18 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1994 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 3 |
Healthcare professional behaviour
Healthcare professional (HCP) behaviours are actions performed by individuals and teams for varying and often complex patient needs. However, gaps exist between evidence-informed care behaviours and the care provided. Implementation science seeks to develop generalizable principles and approaches to investigate and address care gaps, supporting HCP behaviour change while building a cumulative science. We highlight theory-informed approaches for d…
Quality of Public Spaces in Vernacular Settlements
Kotagede is a traditional residential area designated as a cultural heritage area. The community is currently developing as a dense residential area and this is limiting the existence of public open spaces despite their importance to social interaction public activities. Therefore, this study was conducted to discuss the quality of public open spaces in Kotagede with a focus on the use and users, accessibility, amenities and furniture, comfort an…
Consensus on Prioritisation of Actions for Reducing the Environmental Impact of a Large Tertiary Hospital
Hospitals are the largest greenhouse gas producers within the Australian healthcare sector due to the large amounts of energy, resource utilization, equipment and pharmaceuticals required to deliver care. In order to reduce healthcare emissions, healthcare services must take multiple actions to address the broad range of emissions produced when delivering patient care. The goal of this study was to seek consensus on the priority actions needed to…
Exploring patient acceptability of a short‐stay care pathway in hospital post arthroplasty
INTRODUCTION: Arthroplasty is an effective, yet costly, surgical procedure for end-stage osteoarthritis. Shorter stays in hospital are being piloted in Australia. In some countries, short stay is established practice, associated with improving perioperative care and enhanced recovery after surgery practices. Exploring the acceptability to patients of a short stay care pathway in hospital postarthroplasty is important for informing health policy, …
Barriers and Facilitators to Implementation of Antibiotic Stewardship Programmes in Hospitals in Developed Countries
Objectives: To identify any perceived influences on implementation of antibiotic stewardship programmes (ASPs) in hospitals, across healthcare systems, and to exemplify the use of a behavioural framework to conceptualise those influences. Methods: EMBASE and MEDLINE databases were searched from 01/2001 to 07/2017 and reference lists were screened for multi-country studies that reported barriers and/or facilitators to implementing actual or hypoth…
Improving adherence to multiple medications in older people in primary care
BACKGROUND: Medication adherence is vital to ensuring optimal patient outcomes, particularly amongst multimorbid older people prescribed multiple medications. Interventions targeting adherence often lack a theoretical underpinning and this may impact on effectiveness. The theoretical domains framework (TDF) of behaviour can aid intervention development by systematically identifying key determinants of medication adherence. OBJECTIVES: This study …
Acceptability of healthcare interventions
BACKGROUND: It is increasingly acknowledged that 'acceptability' should be considered when designing, evaluating and implementing healthcare interventions. However, the published literature offers little guidance on how to define or assess acceptability. The purpose of this study was to develop a multi-construct theoretical framework of acceptability of healthcare interventions that can be applied to assess prospective (i.e. anticipated) and retr…
A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems
BACKGROUND: Implementing new practices requires changes in the behaviour of relevant actors, and this is facilitated by understanding of the determinants of current and desired behaviours. The Theoretical Domains Framework (TDF) was developed by a collaboration of behavioural scientists and implementation researchers who identified theories relevant to implementation and grouped constructs from these theories into domains. The collaboration aimed…
Valuing patients' experiences of healthcare processes
The Behavior Change Technique Taxonomy (v1) of 93 Hierarchically Clustered Techniques
CONSORT guidelines call for precise reporting of behavior change interventions: we need rigorous methods of characterizing active content of interventions with precision and specificity.The objective of this study is to develop an extensive, consensually agreed hierarchically structured taxonomy of techniques [behavior change techniques (BCTs)] used in behavior change interventions.In a Delphi-type exercise, 14 experts rated labels and definition…
Developing theory-informed behaviour change interventions to implement evidence into practice
BACKGROUND: There is little systematic operational guidance about how best to develop complex interventions to reduce the gap between practice and evidence. This article is one in a Series of articles documenting the development and use of the Theoretical Domains Framework (TDF) to advance the science of implementation research. METHODS: The intervention was developed considering three main components: theory, evidence, and practical issues. We u…
A framework for the evaluation of patient information leaflets
Background The provision of patient information leaflets (PILs) is an important part of health care. PILs require evaluation, but the frameworks that are used for evaluation are largely under‐informed by theory. Most evaluation to date has been based on indices of readability, yet several writers argue that readability is not enough. We propose a framework for evaluating PILs that reflect the central role of the patient perspective in communicati…
What is an adequate sample size? Operationalising data saturation for theory-based interview studies
In interview studies, sample size is often justified by interviewing participants until reaching 'data saturation'. However, there is no agreed method of establishing this. We propose principles for deciding saturation in theory-based interview studies (where conceptual categories are pre-established by existing theory). First, specify a minimum sample size for initial analysis (initial analysis sample). Second, specify how many more interviews w…
From Theory to Intervention
Theory provides a helpful basis for designing interventions to change behaviour but offers little guidance on how to do this. This paper aims to illustrate methods for developing an extensive list of behaviour change techniques (with definitions) and for linking techniques to theoretical constructs. A list of techniques and definitions was generated from techniques published in two systematic reviews, supplemented by “brainstorming” and a systema…
Involvement in treatment decision-making
Looking at Family Life and Looking Back
Self-discrepancy theory (SDT) proposes that particular kinds of self-discrepancies predict particular emotional vulnerabilities. Specifically, individuals who believe they are not meeting their obligations are vulnerable to anxiety-related emotions, whereas individuals who believe they are not meeting their aspirations are vulnerable to depression-related emotions. This is the first known study to investigate self-discrepancies and emotions among…
The relation between self-discrepancies and emotion
Speech a La Mode
Forty sentences, each containing one of five modal auxiliaries (must, should, can, would, and might), were recorded by four speakers (two males, two females), using three patterns of emphatic stress (stress on modal, stress on main verb, and no stress). For each sentence, respondents (N = 55) were asked to judge the degree of certainty and the degree of obligation being communicated. Judgments were found to differ according to modal used; stress …
The Behavior Change Technique Taxonomy (v1) of 93 Hierarchically Clustered Techniques
CONSORT guidelines call for precise reporting of behavior change interventions: we need rigorous methods of characterizing active content of interventions with precision and specificity.The objective of this study is to develop an extensive, consensually agreed hierarchically structured taxonomy of techniques [behavior change techniques (BCTs)] used in behavior change interventions.In a Delphi-type exercise, 14 experts rated labels and definition…
Involvement in treatment decision-making
The relation between self-discrepancies and emotion
Valuing patients' experiences of healthcare processes
Speech a La Mode
Forty sentences, each containing one of five modal auxiliaries (must, should, can, would, and might), were recorded by four speakers (two males, two females), using three patterns of emphatic stress (stress on modal, stress on main verb, and no stress). For each sentence, respondents (N = 55) were asked to judge the degree of certainty and the degree of obligation being communicated. Judgments were found to differ according to modal used; stress …
The relation between self-discrepancies and emotion
Looking at Family Life and Looking Back
Self-discrepancy theory (SDT) proposes that particular kinds of self-discrepancies predict particular emotional vulnerabilities. Specifically, individuals who believe they are not meeting their obligations are vulnerable to anxiety-related emotions, whereas individuals who believe they are not meeting their aspirations are vulnerable to depression-related emotions. This is the first known study to investigate self-discrepancies and emotions among…
From Theory to Intervention
Theory provides a helpful basis for designing interventions to change behaviour but offers little guidance on how to do this. This paper aims to illustrate methods for developing an extensive list of behaviour change techniques (with definitions) and for linking techniques to theoretical constructs. A list of techniques and definitions was generated from techniques published in two systematic reviews, supplemented by “brainstorming” and a systema…
Involvement in treatment decision-making
What is an adequate sample size? Operationalising data saturation for theory-based interview studies
In interview studies, sample size is often justified by interviewing participants until reaching 'data saturation'. However, there is no agreed method of establishing this. We propose principles for deciding saturation in theory-based interview studies (where conceptual categories are pre-established by existing theory). First, specify a minimum sample size for initial analysis (initial analysis sample). Second, specify how many more interviews w…
Developing theory-informed behaviour change interventions to implement evidence into practice
BACKGROUND: There is little systematic operational guidance about how best to develop complex interventions to reduce the gap between practice and evidence. This article is one in a Series of articles documenting the development and use of the Theoretical Domains Framework (TDF) to advance the science of implementation research. METHODS: The intervention was developed considering three main components: theory, evidence, and practical issues. We u…
A framework for the evaluation of patient information leaflets
Background The provision of patient information leaflets (PILs) is an important part of health care. PILs require evaluation, but the frameworks that are used for evaluation are largely under‐informed by theory. Most evaluation to date has been based on indices of readability, yet several writers argue that readability is not enough. We propose a framework for evaluating PILs that reflect the central role of the patient perspective in communicati…
The Behavior Change Technique Taxonomy (v1) of 93 Hierarchically Clustered Techniques
CONSORT guidelines call for precise reporting of behavior change interventions: we need rigorous methods of characterizing active content of interventions with precision and specificity.The objective of this study is to develop an extensive, consensually agreed hierarchically structured taxonomy of techniques [behavior change techniques (BCTs)] used in behavior change interventions.In a Delphi-type exercise, 14 experts rated labels and definition…
Valuing patients' experiences of healthcare processes
Acceptability of healthcare interventions
BACKGROUND: It is increasingly acknowledged that 'acceptability' should be considered when designing, evaluating and implementing healthcare interventions. However, the published literature offers little guidance on how to define or assess acceptability. The purpose of this study was to develop a multi-construct theoretical framework of acceptability of healthcare interventions that can be applied to assess prospective (i.e. anticipated) and retr…
A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems
BACKGROUND: Implementing new practices requires changes in the behaviour of relevant actors, and this is facilitated by understanding of the determinants of current and desired behaviours. The Theoretical Domains Framework (TDF) was developed by a collaboration of behavioural scientists and implementation researchers who identified theories relevant to implementation and grouped constructs from these theories into domains. The collaboration aimed…
Improving adherence to multiple medications in older people in primary care
BACKGROUND: Medication adherence is vital to ensuring optimal patient outcomes, particularly amongst multimorbid older people prescribed multiple medications. Interventions targeting adherence often lack a theoretical underpinning and this may impact on effectiveness. The theoretical domains framework (TDF) of behaviour can aid intervention development by systematically identifying key determinants of medication adherence. OBJECTIVES: This study …
Barriers and Facilitators to Implementation of Antibiotic Stewardship Programmes in Hospitals in Developed Countries
Objectives: To identify any perceived influences on implementation of antibiotic stewardship programmes (ASPs) in hospitals, across healthcare systems, and to exemplify the use of a behavioural framework to conceptualise those influences. Methods: EMBASE and MEDLINE databases were searched from 01/2001 to 07/2017 and reference lists were screened for multi-country studies that reported barriers and/or facilitators to implementing actual or hypoth…
Exploring patient acceptability of a short‐stay care pathway in hospital post arthroplasty
INTRODUCTION: Arthroplasty is an effective, yet costly, surgical procedure for end-stage osteoarthritis. Shorter stays in hospital are being piloted in Australia. In some countries, short stay is established practice, associated with improving perioperative care and enhanced recovery after surgery practices. Exploring the acceptability to patients of a short stay care pathway in hospital postarthroplasty is important for informing health policy, …
Healthcare professional behaviour
Healthcare professional (HCP) behaviours are actions performed by individuals and teams for varying and often complex patient needs. However, gaps exist between evidence-informed care behaviours and the care provided. Implementation science seeks to develop generalizable principles and approaches to investigate and address care gaps, supporting HCP behaviour change while building a cumulative science. We highlight theory-informed approaches for d…
Quality of Public Spaces in Vernacular Settlements
Kotagede is a traditional residential area designated as a cultural heritage area. The community is currently developing as a dense residential area and this is limiting the existence of public open spaces despite their importance to social interaction public activities. Therefore, this study was conducted to discuss the quality of public open spaces in Kotagede with a focus on the use and users, accessibility, amenities and furniture, comfort an…
Consensus on Prioritisation of Actions for Reducing the Environmental Impact of a Large Tertiary Hospital
Hospitals are the largest greenhouse gas producers within the Australian healthcare sector due to the large amounts of energy, resource utilization, equipment and pharmaceuticals required to deliver care. In order to reduce healthcare emissions, healthcare services must take multiple actions to address the broad range of emissions produced when delivering patient care. The goal of this study was to seek consensus on the priority actions needed to…
Psychology (11 works) · Medicine (9 works) · Nursing (8 works) · Health care (7 works) · Health Policy Implementation Science (6 works) · Behaviour change (5 works) · Computer Science (5 works) · Psychological intervention (5 works) · Public health (5 works) · Social Psychology (4 works)