. 2021 Sep 24;17(Suppl 1):S-55–S-61. doi: 10.1089/chi.2021.0178

Table 1.

Consolidated Framework for Implementation Research Constructs and Implementation Strategies for Healthy Weight Clinic Pediatric Weight Management Intervention

CFIR domains	CFIR constructs	Implementation strategies
Intervention characteristics	Intervention source⁺² Relative advantage⁺² Evidence strength and quality⁺² Competing demands⁻¹ Evidence-based +1 Appropriate in primary care⁺² Adaptability⁻¹ Complexity⁻¹ Design quality and packaging⁺¹	Online provider training modules, provider virtual learning collaborative, engaging health center leadership, ongoing meetings, identify and form new clinical teams, clinician reminders (BMI alerts, labs, counseling, referrals)
Inner setting	Structural characteristics⁺¹ Networks and communications⁺¹ Readiness for implementation • Leadership engagement⁺² • Available resources⁺¹ Implementation climate • Tension for change⁺¹ • Compatibility⁺¹ • Tangible fit⁺² • Alignment⁺¹ • Workflow⁻¹ • Learning climate⁺¹	Engaging health center leadership, quality improvement, identify and form new clinical teams, clinician reminders (BMI alerts, labs, counseling, referrals)
Outer setting	Patient needs and resources⁻² Cosmopolitanism^0/−1 External policy and incentives⁺¹	Virtual learning collaborative, community resources engagement (capturing local knowledge), engaging external state-level and national organizations, utilize financial strategies, addressing social determinants of health
Characteristics of individuals	Knowledge and beliefs about intervention⁺¹ Self-efficacy⁺¹ Training⁺²	Online provider training modules, provider virtual learning collaborative, ongoing meetings, fidelity monitoring with quarterly checklist, utilize financial strategies, quality improvement, identify and form new clinical teams
Process	Engaging⁺¹ Opinion leaders⁺² Champions⁺² Planning⁺¹ External change agents⁺² Reflecting and evaluating⁺¹	Training modules, engaging health center leadership, engaging external state-level and national organizations, ongoing meetings, fidelity monitoring with quarterly checklist, data monitoring and feedback, quality improvement

Superscript numbers denote relative strength of the determinant.

CFIR, Consolidated Framework for Implementation Research.