Table 3.
Responses to the question “is it clear?” for each CFIR construct barrier narrative by implementation team
| CIFR constructs (see Additional file 1 for barrier narratives) | QC | ON | MB1 | MB2 | NB1 | NB2 | BC | Number of implementation teams who responded “No” |
|---|---|---|---|---|---|---|---|---|
| Intervention Source | Y | N | N | Y | Y | N | Y | 3 |
| Evidence Strength & Quality | Y | Y | Y | Y | Y | N | Y | 1 |
| Relative advantage | Y | N | N | Y | N | N | N | 5 |
| Adaptability | Y | N | Y | Y | Y | Y | Y | 1 |
| Trialability | Y | N | Y | Y | N | N | N | 4 |
| Complexity | N | N | N | Y | N | N | N | 6 |
| Design Quality and Packaging | Y | Y | Y | Y | Y | N | Y | 1 |
| Cost | Y | Y | Y | Y | Y | Y | Y | 0 |
| Patient Needs & Resources | Y | N | Y | Y | N | N | N | 4 |
| Cosmopolitanism | Y | Y | Y | Y | Y | Y | Y | 0 |
| Peer Pressure | Y | N | N | N | Y | Y | Y | 3 |
| External Policy & Incentives | N | N | N | N | N | N | N | 7 |
| Structural Characteristics | Y | N | Y | Y | N | N | Y | 3 |
| Networks & Communications | Y | Y | Y | Y | Y | N | N | 2 |
| Culture | Y | Y | Y | Y | Y | N | N | 2 |
| Implementation Climate | Y | Y | N | Y | Y | N | N | 3 |
| Tension for Change | Y | Y | Y | Y | N | N | N | 3 |
| Compatibility | Y | N | Y | N | N | N | Y | 4 |
| Relative Priority | Y | Y | Y | Y | Y | Y | Y | 0 |
| Organizational Incentives & Rewards | Y | N | Y | Y | Y | N | N | 3 |
| Goals and Feedback | Y | N | Y | Y | Y | N | Y | 2 |
| Learning Climate | Y | N | N | N | Y | N | Y | 4 |
| Readiness for Implementation | Y | N | Y | Y | Y | N | Y | 2 |
| Leadership Engagement | Y | Y | Y | Y | Y | N | N | 2 |
| Available Resources | Y | Y | Y | Y | Y | Y | Y | 0 |
| Access to knowledge and information | Y | Y | N | Y | N | N | Y | 3 |
| Knowledge & Beliefs about the Intervention | Y | Y | Y | Y | Y | N | Y | 1 |
| Self-efficacy | Y | Y | Y | Y | Y | N | Y | 1 |
| Individual Stage of Change | Y | Y | Y | Y | Y | Y | Y | 0 |
| Individual Identification with Organization | Y | Y | Y | Y | Y | Y | Y | 0 |
| Planning | Y | N | Y | Y | N | Y | Y | 2 |
| Opinion Leaders | N | N | Y | N | N | Y | Y | 4 |
| Formally appointed internal implementation leaders | Y | N | Y | Y | N | N | Y | 3 |
| Champions | Y | N | N | N | N | N | N | 6 |
| External Change Agents | Y | N | Y | N | N | N | Y | 4 |
| Key Stakeholders | Y | N | N | N | N | N | Y | 5 |
| Patients/Customers | Y | Y | N | Y | Y | Y | Y | 1 |
| Executing | Y | Y | Y | Y | Y | Y | Y | 0 |
| Reflecting & Evaluating | Y | Y | Y | N | N | N | Y | 3 |
| Total unclear barrier narratives per site | 3 | 20 | 11 | 9 | 16 | 27 | 22 |
BC British Columbia, MB Manitoba, ON Ontario, QC Québec, NB New Brunswick, Y yes, N no