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Table 2 CFIR constructs associated with actual implementation performance

From: The implementation of health promotion in primary and community care: a qualitative analysis of the ‘Prescribe Vida Saludable’ strategy

PVS Cases CFIR Constructs

Centers by level of implementation

 

High: Center A

Medium: Centers B and C

Low: Center D

I. Intervention characteristics

A. Intervention source

+2

+1

0

0

+ association

B. Evidence Strength & Quality

+2

+1

+1

−1

+ association

C. Relative advantage

+1

+1

+2

+1

Not associated

D. Adaptability

−2

0

−1

0

- + associated a

F. Complexity

−2

−1

−1

−2

Not associated

G. Design Quality & Packaging

−1

−1

+1

+1

+ associationa

II. Outer setting

A. Patient Needs & Resources

−1

+1

−2

−1

Not associated

D. External Policy & Incentives

−2

−1

−2

−2

Not associated

III. Inner setting

A. Structural Characteristics

−2

−2

−2

−2

Not associated

D. Implementation climate

1. Tension for Change

+1

0

+2

−1

+ association

6. Learning Climate

+2

0

X

−1

+ association

E. Readiness for Implementation

2. Available Resources

−2

−1

−1

−1

Not associated

IV. Characteristics of individuals

B. Self-efficacy

+2

−1

+1

−2

+ association

V. PROCESS

A Planning

0

0

0

−2

+ association

B Engaging

2. Formally appointed internal implementation leaders

+2

+2

+2

+1

Not associated

3. Champions

+1

+2

X

X

+ association

C Executing

+1

0

−1

−2

+ association

D Reflecting & Evaluating

+1

+1

−1

−1

+ association

Organizational Tracking

−2

0

−2

X

- association

  1. a There is a negative association with the lack of adaptability and with problems in the design and packaging of the intervention