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Table 3 CFIR construct ratings by site

From: Implementing alcohol use disorder pharmacotherapy in primary care settings: a qualitative analysis of provider-identified barriers and impact on implementation outcomes

Site number: prescribing rate change [25]

Site 1: NS trend toward increase

Site 2: No change

Site 3: Significant increase

CFIR construct

Innovation/intervention characteristics domain

 Evidence strength and quality

0

+ 1

+ 1

 Relative Advantage

+ 1*

− 2*

− 1*

 Adaptability

+ 2

–

− 1*

 Trialability

+ 2*

+ 2

+ 1*

 Complexity

− 2

− 1

− 1

 Design quality and packaging

+ 1*

− 1*

− 1*

Outer setting domain

 Peer pressure

0

0

0

 External policy and incentives

0

+ 1

0

Inner setting domain

 Network and communications

+ 1*

+ 1

+ 1*

 Culture

− 2*

–

− 1

Implementation climate

 Compatibility

− 2

− 2

− 2

 Relative priority

+ 1*

− 1

− 1*

 Organizational incentives and rewards

0

0

+ 1

Readiness for implementation

 Available resources

+ 1*

− 1

− 1*

 Access to knowledge and information

− 1*

+ 1

− 2

Characteristics of individuals domain

 Knowledge and beliefs about the innovation/intervention

− 1*

− 1

− 1*

 Self-efficacy

+ 1*

− 2*

+ 1*

Other personal attributes

 Attitude toward patients

− 1

− 2

− 2

  1. The following CFIR constructs had fewer than thee respondents with statements coded to that construct at all three facilities and therefore were not analyzed: Innovation/Intervention Source, Cost, Patient Needs and Resources, Cosmopolitanism, Structural Characteristics, Tension for Change, Goals and Feedback, Learning Climate, Leadership Engagement, Individual Stage of Change, Individual Identification with the Organization
  2. NS nonsignificant
  3. *Indicates mixed rating; – indicates < than three respondents at that facility had statements coded to that construct; Italicized constructs represent those discussed in the results section