Table 1.
Domain | Domain Description | Constructs | Themes |
---|---|---|---|
Intervention Characteristics | Covers the key aspects of an intervention that influence the success of implementation |
- Adaptability - Complexity - Costs - Design quality and packaging - Evidence strength and quality - Intervention source - Relative advantage - Trialability |
Facilitator: - Lived experience of CHWs with justice involvement (complexity and relative advantage) - Lack of restrictions to enrollment and voluntary nature of services (design quality and packaging) Facilitator and Challenge: - CHW integration into CBOs and healthcare settings (complexity and adaptability) - Expansive scope of work for CHWs (complexity and relative advantage) - Integration of trauma-informed approach (design quality and packaging) |
Inner Setting | Refers to the setting within which the intervention was implemented. In the case of NYC HJN this includes both DOHMH and the six partner sites where CHWs were embedded |
- Structural characteristics - Networks and communications - Culture - Implementation climate - Readiness for implementation |
Barrier: - Lack of a formal implementation protocol (access to knowledge and information) Facilitator and Challenge: - Values alignment and existing infrastructure (compatibility and culture, relative priority and available resources) - Leadership engagement (leadership engagement) - CHW training and support (learning climate and networks and communication) - Input, feedback and communication (networks and communication) |
Outer Setting | Encompasses external influences on program implementation. In the case of NYC HJN, this was anything outside of DOHMH and the six partner sites |
- Cosmopolitanism - External policies and incentives - Patient needs and resources - Peer pressure |
Facilitator: - Prioritizing participant needs (patient needs and resources, cosmopolitanism, and external policies and incentives) |