Table 1.
Barriers | Facilitators |
---|---|
1- Intervention Characteristics | |
B1.1 Name of intervention B1.2 Lack of evidence base B1.3 Adaptability – conflict between standardise vs tailoring to context B1.4 Lack of resources B1.5 Safety consideration B1.6 Physical and temporal barriers B1.7 Failures in new technology implemented |
F1.1 Cost to participant F1.2 Cost to organisation F1.3 Pragmatic and clear programme content F1.4 Adaptability (both by implementers and to context) F1.5 Programme compatibility with staff and participants F1.6 Development and availability of innovative information and communication technologies F1.7 Credibility from evidence source F1.8 Positive perception of intervention implementer by participants F1.9 Sustainability of the intervention |
2- Inner Setting | |
B2.1 Competing priorities B2.2 High staff turnover B2.3 Lack of communication within the team B2.4 Lack of support from leadership B2.5 Lack of funding B2.6 Implementing intervention from obligation B2.7 Staff burnout B2.8 Lack of perceived responsibility and motivation among organisations B2.9 Limited capacity to take part in multiple initiatives B2.10 High level of organisation and administration needed B2.11 Too much change required to implement B2.12 Poor staff training quality |
F2.1 Strong commitment from leadership F2.2 Clear information and communication strategies within organisations F2.3 Provider training and capacity building F2.4 Strong shared commitment and sense of ownership F2.5 Feedback to staff F2.6 Easy to integrate intervention goals within existing structures F2.7 Strong staff relationships |
3- Outer Setting | |
B3.1 Cultural barriers B3.2 Instability or lack of policies supporting target group B3.3 Poor relationship between organisation and community B3.4 Lack of community buy-in B3.5 Lack of coordination and communication between organisations B3.6 Funding between collaborating organisations B3.7 Availability of resources |
F3.1 Participation of stakeholders in decision-making process F3.2 Funding F3.3 Accessible to communities in which intervention was implemented F3.4 Community involvement to support the intervention F3.5 High perceived fit of intervention in policy goals/agendas F3.6 Political advocacy and support F3.7 Effective communication strategies between stakeholders F3.8 Volunteerism F3.9 Role of support and research system F3.10 Leadership and buy-in from range of stakeholders |
4- Individual Characteristics | |
B4.1 Lack of motivation B4.2 Lack of knowledge B4.3 Perceived imposed participation in intervention training B4.4 Values inconsistent with lifestyle/context B4.5 Lack of perceived importance of communicating with participants by organisation staff B4.6 Perceived workload among staff B4.7 Poor participant attitude B4.8 Challenge to find committed leaders |
F4.1 Well-trained F4.2 Dedicated F4.3 Leaders take ownership of problem addressed by intervention F4.4 Leaders motivate others F4.5 High individual motivation of staff F4.6 High perceived importance of intervention by staff F4.7 Positive attitudes and beliefs F4.8 Members and leaders experienced increases in self-efficacy F4.9 Feeling empowered F4.10 Strong feeling of reward from engaging across all levels |
5- Processes of Implementation | |
B5.1 Insufficient resources allocated for implementation B5.2 Complexity of intervention B5.3 Top-down implementation strategy |
F5.1 Engaging key stakeholders in decision-making throughout whole implementation process (Including pre-delivery of intervention) F5.2 Appointed community-based members as leaders F5.3 Designed using existing resources and context characteristics F5.4 Involvement of experts to tailor intervention F5.5 Using theoretical model to inform recruitment strategies F5.6 Support and research staff checking in with program staff facilitated problem solving and feedback loops F5.7 Use of wide variety of strategies to implement the intervention F5.8 Enough time for preparation before delivery F5.9 Collaborative effort built into design |