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. 2016 Dec 23;5:214–219. doi: 10.1016/j.pmedr.2016.12.018

Table 1.

Framework of Constructs Affecting Implementation of Health Innovations (adapted from Chaudoir et al., 2013)

Factors (or Constructs) Definition Examples (or Sub-constructs)
1. Structural “The outer setting or external structure of the broader sociocultural context or community in which a specific organization is nested.” (Chaudoir et al., 2013, Haines et al., 2004)
  • physical environment (e.g., elements that pose barriers to health care access)

  • political or social climate (e.g., liberal vs. conservative)

  • public policies (e.g., laws governing health care practices)

  • economic climate (e.g., funding available)

  • infrastructure (e.g., access to public transportation).

2. Organizational “Aspects of the organization in which an innovation is being implemented.” (Chaudoir et al., 2013)
  • leadership effectiveness

  • culture or climate (e.g., extent to which an organization values and rewards an innovation)

  • staff satisfaction or morale.

3. Provider “Aspects of the [team, practice or group of providers] who implement the innovation with a patient or client.” (Chaudoir et al., 2013)
  • attitude toward evidence-based practice

  • perceived control to implement an innovation.

4. Innovation “Aspects of the innovation that will be implemented”. (Chaudoir et al., 2013)
  • relative advantage of using an innovation beyond current practices

  • quality of the evidence supporting the benefit of an innovation.

5. Patient “Patient characteristics […] that can impact implementation outcomes.” (Chaudoir et al., 2013, Feldstein and Glasgow, 2008)
  • health-related beliefs

  • motivation

  • personality traits

  • behavioral risk factors (e.g., alcohol misuse)

  • beliefs and/or attitudes (e.g., trust/mistrust of medical practices).