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. 2023 Jun 20;38(Suppl 3):923–930. doi: 10.1007/s11606-023-08115-5

Table 2.

Survey Question Responses Mapped to Consolidated Framework for Implementation Research (CFIR) Constructs

CFIR 2.0domain Question N (%)/M (SD)
Innovation The deliverable has required substantial modifications prior to broader implementation Strongly or somewhat disagree 9 (43%)
Neither agree nor disagree 3 (14%)
Strongly or somewhat agree 9 (43%)
Outer setting & inner setting Implementation has had sufficient resources (e.g., equipment, staff) Strongly or somewhat disagree 3 (13%)
Neither agree nor disagree 4 (17%)
Strongly or somewhat agree 16 (70%)
Implementation has had sufficient IT support Strongly or somewhat disagree 4 (19%)
Neither agree nor disagree 4 (19%)
Strongly or somewhat agree 13 (62%)
Implementation would create tension with existing practice (e.g., standards of care, guidelines, policies, systems) Strongly or somewhat disagree 14 (54%)
Neither agree nor disagree 3 (12%)
Strongly or somewhat agree 9 (35%)
Changes in environment have rendered implementation less relevant Strongly or somewhat disagree 19 (70%)
Neither agree nor disagree 4 (15%)
Strongly or somewhat agree 4 (15%)
Implementation has had support and buy-in from key outside community entities Strongly or somewhat disagree 5 (29%)
Neither agree nor disagree 8 (47%)
Strongly or somewhat agree 4 (24%)
Operational offices either contacted or deliverable shared (“engagement”) Local/medical center 4 (13%)
Regional/visn 3 (9%)
National/VHA 21 (66%)

Individuals

(outer setting)

Implementation has had support and commitment from national VHA operational leadership Strongly or somewhat disagree 3 (13%)
Neither agree nor disagree 4 (17%)
Strongly or somewhat agree 16 (70%)

Individuals

(inner setting)

Implementation has been limited by PI’s time,expertise,and/or resources Strongly or somewhat disagree 13 (52%)
Neither agree nor disagree 3 (12%)
Strongly or somewhat agree 9 (36%)
Implementation has had buy-in from frontline providers and staff Strongly or somewhat disagree 5 (21%)
Neither agree nor disagree 7 (29%)
Strongly or somewhat agree 12 (50%)
Implementation has had support and commitment from local site operational leadership Strongly or somewhat disagree 3 (13%)
Neither agree nor disagree 6 (25%)
Strongly or somewhat agree 15 (63%)
Implementation has had a champion at the implementation site Strongly or somewhat disagree 4 (17%)
Neither agree nor disagree 5 (22%)
Strongly or somewhat agree 14 (61%)