Table 1.
CFIR domains with descriptions [16]
| Domain | Description |
|---|---|
| Intervention Characteristics | Refers to the features of the intervention itself that may influence implementation. This includes aspects such as the source of the intervention, its perceived evidence strength and quality, relative advantage compared to current practice, adaptability to local context, trialability, complexity, design quality, and associated cost. |
| Outer Setting | Encompasses the external influences on implementation, including the broader economic, political, and social context. This domain covers patient needs and resources, external policies and incentives, peer pressure or competition. |
| Inner Setting | Focuses on the internal context of the implementing organization. It includes structural characteristics, networks and communication, culture, implementation climat, and readiness for implementation (leadership engagement, available resources, access to knowledge and information). |
| Characteristics of Individuals Involved | Addresses the attributes of the people involved in implementation, such as their knowledge and beliefs about the intervention, self-efficacy, individual stage of change, identification with the organization, and other personal attributes that influence behavior and adoption. |
| Implementation Process | Refers to the active, purposeful steps taken to implement the intervention. Key elements include planning, engaging relevant stakeholders (e.g., opinion leaders, champions, external change agents), executing the implementation, and reflecting and evaluating to inform continuous improvement. |