eprintid: 10077079 rev_number: 26 eprint_status: archive userid: 608 dir: disk0/10/07/70/79 datestamp: 2019-07-01 09:48:15 lastmod: 2021-09-28 22:32:11 status_changed: 2019-07-01 09:52:47 type: article metadata_visibility: show creators_name: Richardson, M creators_name: Khouja, CL creators_name: Sutcliffe, K creators_name: Thomas, J title: Using the theoretical domains framework and the behavioural change wheel in an overarching synthesis of systematic reviews ispublished: pub divisions: UCL divisions: B16 divisions: B14 divisions: J81 keywords: Behaviour change wheel, minor ailments, mixed methods, public health, self-care, systematic review note: This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. abstract: OBJECTIVE: Synthesis that can filter the evidence from multiple sources to inform the choice of intervention components is highly desirable yet, at present, there are few examples of systematic reviews that explicitly define this type of synthesis using behaviour change frameworks. Here, we demonstrate how using the Theoretical Domains Framework (TDF) and the Behaviour Change Wheel (BCW) made it possible to bring together the findings from a series of three interconnected systematic reviews on the self-care of minor ailments (MAs) to inform the choice of intervention components. METHOD: The TDF and the capability, opportunity, motivation model of behaviour at the hub of the BCW were used to synthesise the findings from the three reviews, including syntheses of service-user views in interviews (review 1, 20 studies) and surveys (review 2, 13 studies), and evaluations of a range of interventions and services (review 3, 21 studies). RESULTS: The TDF and BCW approach provided a systematic, structured and replicable methodology for retrospectively integrating different types of evidence within a series of systematic reviews. Several intervention strategies, grounded in theory and discussed with key stakeholders, were suggested, which can be implemented and tested. CONCLUSIONS: This novel application of the TDF/BCW approach illustrates how it can be used to bring together quantitative and qualitative evidence to better understand self-care behaviour for MAs within a systematic review context. The TDF/BCW approach facilitated exploration of the contradictions and gaps between the separate review syntheses, and supported the identification of possible intervention strategies, grounded in theory. The ongoing development and refinement of this method is supported. PROSPERO REGISTRATION NUMBER: CRD42017071515. date: 2019-06-22 date_type: published official_url: https://doi.org/10.1136/bmjopen-2018-024950 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green article_type_text: Journal Article verified: verified_manual elements_id: 1667188 doi: 10.1136/bmjopen-2018-024950 pii: bmjopen-2018-024950 lyricists_name: Richardson, Michelle lyricists_name: Sutcliffe, Katy lyricists_name: Thomas, James lyricists_id: MARIC56 lyricists_id: KSUTC11 lyricists_id: JTHOA32 actors_name: Flynn, Bernadette actors_id: BFFLY94 actors_role: owner full_text_status: public publication: BMJ Open volume: 9 number: 6 article_number: e024950 event_location: England issn: 2044-6055 citation: Richardson, M; Khouja, CL; Sutcliffe, K; Thomas, J; (2019) Using the theoretical domains framework and the behavioural change wheel in an overarching synthesis of systematic reviews. BMJ Open , 9 (6) , Article e024950. 10.1136/bmjopen-2018-024950 <https://doi.org/10.1136/bmjopen-2018-024950>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10077079/1/e024950.full.pdf