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. 2024 Nov 25;26:e55897. doi: 10.2196/55897

Table 2.

Analytical themes, constructs, and domains of the Consolidated Framework for Implementation Research (CFIR).

Construct Analytical themes Papers, n (%) References
Inner setting domain (n=25, 74%)
A. Structural characteristics (A.2 IT
infrastructure)
Integration with existing IT; Data governance; System infrastructure 11 (32) [33,36,38,39,47,48,50,57,58,60,61]
D. Culture Professional habits; User perceptions 9 (26) [32,37-40,45,47,59,62]
F. Compatibility Local workflow adaptation 7 (21) [40,44,47,49,62,63,65]
H. Incentive systems Economic incentives; Organizational incentives 2 (6) [42,56]
I. Mission alignment Organizational strategy; Organizational support 4 (12) [39,47,55,62]
J. Available resources Resource reallocation 1 (3) [32]
K. Access to knowledge & information Skills 12 (35) [32,34,38-40,45,48,49,55,57,63,64]
Innovation domain (n=22, 65%)
A. Innovation source Trust in the innovation source 3 (9) [33,39,44]
B. Innovation evidence base Empirical evidence on added value 2 (6) [47,49]
C. Innovation relative advantage Performance trust; Perceived cons; Perceived benefits 14 (41) [37,39,40,43-45,47,55,56,58,59,61,62,65]
E. Innovation trialability Testing period 1 (3) [63]
F. Innovation complexity Explainability 14 (41) [32,33,37,39,44,45,49,54-56,58,59,61,65]
G. Innovation design Complementarity; Ease of use; Risks 15 (44) [32,33,39,45,49,52-56,58,59,62,64,65]
Process domain (n=22, 65%)
E. Tailoring strategies Framing; Tailoring 9 (26) [33,38,45-47,54,55,57,62]
F. Engaging Early involvement of end-users; Professional buy-in; Iterative development 12 (35) [33,38,45,46,51,55,57,58,60-63]
H. Reflecting & evaluating Feedback 11 (32) [34,36,38,45,46,48,49,60-62,65]
I. Adapting Local data; Adaptability 6 (18) [36,39,41,44,51,58]
Individuals domain – Roles subdomain (n=11, 32%)
E. Implementation leads Implementation lead; Implementation team 9 (26) [34,40,45-47,55,61-63]
F. Implementation team members Interdisciplinary teams 7 (21) [45,46,51,55,61,62,64]
Outer setting domain (n=9, 26%)
B. Local attitudes Patient acceptance; Public attitude 4 (12) [33,35,39,50]
D. Partnership & connections Interinstitutional partnerships; Public-private partnerships 4 (12) [42,47,50,61]
E. Policies & laws Medicolegal issues; Medical device regulation; Guidelines; Data protection 6 (18) [33,39,46,47,50,61]
G. External pressure Peer influence 1 (3) [54]