Absence of Obstacles
Additional factors (e.g., information, regulation, incentives, catalysts, public pressure, negotiation, application)
Addresses patient barriers
Adoption and Implementation
Amount of conflict
Barriers
Barriers and facilitators
Change Valence
Change Related Effort
Competing demands
Denial
| Determinants
Enabling
Enabling structures to foster adoption
Environmental Context
External Determinants
Facilitation: External/Internal
Facilitative Administrative Supports
Facilitators
Facillitating pull effforts
Factors Affecting Dissemination
| Identify Local Barriers to Implementation
Incentives and Disincentives
Incentives to adopt evidence-based programs
Personal Determinants
Proposed funding change
Proximal Program Objective
Reimbursement
Reinforcement
Related to Time or Timing
Secure support from decision makers to implement the recommended change internally
| Single agency issue
Social Influences
Support during implementation
Supporting decisions
Transition issues
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