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Table 3 CFIR construct ranking after pre-implementation phone interviews. Rating − 2 to + 2

From: Formative evaluation and adaptation of pre-and early implementation of diabetes shared medical appointments to maximize sustainability and adoption

Construct

Site #1 (1001)

Site #2 (1002)

Site #3 (1003)

Site #4 (1004)

Site #5 (1005)

Intervention characteristics

 Intervention Source

Internal

External

Internal

External

Internal

 Evidence Strength & Quality

+ 1

−2

+ 1

+ 2

+ 1

 Relative advantage

−1

− 2

+ 1

+ 1

Mixed

 Adaptability

−1

− 1

Missing

+ 1

Neutral

 Trialability

+ 1

+ 1

Missing

Missing

Neutral

 Complexity

+ 1

−2

Mixed

−1

− 2

 Design Quality and Packaging

−1

− 1

− 1

−1

− 1

 Cost

 

−1

 

+ 1

+ 1

Outer setting

 Patient Needs & Resources

−2

−1

−2

− 1

+ 1

Inner setting

 Networks / Communications

+ 1

−2

Neutral

Neutral

Neutral

 Culture

−2

−2

Neutral

Neutral

Neutral

 Tension for Change

Mixed

Neutral

+ 1

+ 1

Neutral

 Compatibility

+ 1

Mixed

+ 1

Neutral

Neutral

 Relative Priority

+ 1

−2

Neutral

−1

Neutral

 Leadership Engagement

+ 2

−2

+ 2

+ 2

+ 1

 Available Resources

−1

−1

− 1

− 1

−1

 Access to knowledge & info

−1

−2

−1

− 1

−1

Characteristics of individuals

 Knowledge & Beliefs about P2P

Mixed

−1

+ 2

+ 1

− 1

 Self-efficacy

Missing

Neutral

+ 1

Neutral

Neutral

Process

 Planning

+ 2

Mixed

+ 1

+ 1

Neutral

 Opinion Leaders

+ 1

−1

+ 1

Mixed

Neutral

 Formally appointed implementation leaders

Neutral

−1

+ 1

Neutral

Neutral

 Champions

+ 2

−2

+ 2

+ 2

+ 1

 Key Stakeholders

+ 1

−2

Neutral

+ 1

+ 1

 Innovation Participants

−1

Neutral

−1

− 1

Neutral