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. 2022 Aug 25;9(9):1284. doi: 10.3390/children9091284

Table 2.

Health Equity Adapted Implementation Framework for Child Health Literacy Interventions.

Adapted CFIR Domains Illustrative Questions
Characteristics of interventions
  • What evidence has informed the equitable implementation of child health literacy intervention to be tailored to local context and recipients?

Child–educator interaction
  • What perceptions and behaviours pertaining to disparities exist during child–educator interactions that may influence the equitable implementation of child health literacy interventions?

Culturally relevant factors (Recipients—children, parents, school staff)
  • What child and parent motivations, knowledge and beliefs may influence the receptivity and uptake of equitable implementation of child health literacy interventions?

  • What school staff factors (e.g., knowledge, attitudes, beliefs and skillsets) may influence the equitable implementation of child health literacy interventions?

Inner context (local school organisation)
  • What local school organisational structures, networks and culture may influence the implementation of child health literacy interventions?

Outer context (education system)
  • What external education policies and incentives need consideration to support the equitable implementation of child health literacy interventions?

Societal context (economic, demographic, or geographical factors)
  • What costs or expenses may perpetuate health disparities in child health literacy?

  • What built environment features within schools may influence the equitable implementation of child health literacy interventions?

  • What policies or guidelines may promote or inhibit equitable implementation of child health literacy interventions?