Box 2.

Definitions of the 5 Major Domains of the Consolidated Framework for Implementation Research³²

I: Intervention Characteristics
Features of an intervention that might influence implementation; 8 constructs: intervention source, evidence strength/quality, relative advantage, adaptability, triability, complexity, design quality, cost
II: Outer Setting
Features of the external context that might influence implementation (economic, political and social context within which the organization resides); 4 constructs: patient needs and resources, cosmopolitanism, peer pressure, external policies and incentives
III: Inner Setting
Features of the implementing organization that might influence implementation (e.g., structural, political, cultural contexts through which implementation will proceed); 12 constructs: structural, networks/communications, culture, tension for change, compatibility, relative priority, organizational incentives and rewards, goals and feedback, learning climate, leadership engagement, available resources, access to information/ knowledge
IV: Characteristics of Individuals
Characteristics of individuals involved in implementation that might influence implementation; 5 constructs: knowledge and beliefs about intervention, self-efficacy, individual stage of change, individual identification with organization
V: Process
Strategies or tactics that might influence implementation; 4 constructs: planning, engaging, executing, reflecting and evaluating