Table 4.
Barriers and facilitators to SRP provision by provider type and CFIR domain
| PEDIATRICIANS (N = 151) | FAMILY THERAPISTS (N = 230) | |
|---|---|---|
| Characteristics of screening/intervention (and implementation process) | ||
| Facilitator: available in other languages* | 2.6% | 0.0% |
| Inner setting | ||
| Facilitator: leadership support | 1.3 | 2.6 |
| Barrier: lack of provider time*** | 68.2 | 8.7 |
| Outer setting | ||
| Facilitator: more likely to use SRP if funding availablea,b | 86.6 | 17.8 |
| Facilitator: having referral resources | 26.5 | 19.6 |
| Facilitator: % of clients engaging in risky behaviorsa | 32.7 | 30.8 |
| Barrier: lack of access to referral resources** | 19.2 | 9.6 |
| Barrier: patient transportation needs* | 4.6 | 0.9 |
| Barrier: lack of insurance reimbursement/other funding concern** | 12.6 | 25.7 |
| Provider factors | ||
| Facilitator: staff training*** | 6.6 | 44.8 |
| Facilitator (buy in): willing to receive SRP training a | – | 91.3 |
| Facilitator (buy-in): would consider participating in an SRP study***a | 95.4 | 83.6 |
| Barrier: perceived lack of parental support*** | 25.2 | 2.6 |
| Barrier: perceived poor compliance (by patients or parents)*** | 17.2 | 2.6 |
| Barrier: lack of staff buy-in | 6.0 | 6.1 |
| Barrier: need for staff training** | 3.3 | 12.2 |
| Implementation process (and inner setting) | ||
| Facilitator: brief screening tools or well-integrated workflow*** | 66.9 | 7.0 |
Most facilitators and barriers were identified through coding of responses to open-ended questions (see Study 2 Supplemental Materials), except for those noted otherwise
aIndicates a close-ended survey question with response options collapsed for presentation purposes
bFor this item, pediatricians and family therapists were queried in different ways. Pediatricians were explicitly asked if funding for screening and referral would increase their use of screening whereas family therapists had to identify funding as a facilitator in response to an open-ended prompt (given that they are able to bill for SRP-related intervention). Pediatricians’ responses to the open-ended prompt are in the Study 2 Supplemental Materials
*p < .05; **p < .01; ***p < .001; all using χ2 test