Barriers and facilitators
Number of Models:
The number of models that include elements aligned with the given construct.
28 Elements:
Components abstracted from each model and aligned with the given construct.
Absence of ObstaclesAdditional factors (e.g., information, regulation, incentives, catalysts, public pressure, negotiation, application)
Addresses patient barriers
Adoption and Implementation
Amount of conflict
Available resources to intervention developers
Barriers
Barriers and facilitators
Change Related Effort
Change Valence
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
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
Socio-political and external influence
Support during implementation
Supporting decisions
Transition issues
Definition:
The definition of the construct.
Individual characterstics and contextual factors and strategies that enhance or impede the dissemination and implementation of evidence-based interventions. Related Models:
- Active Implementation Framework
- Adherence Optimization Framework
- Blueprint for Dissemination
- Choosing Wisely Deimplementation Framework
- Conceptual Model of Knowledge Utilization
- Conceptualizing Dissemination Research and Activity: Canadian Heart Health Initiative
- Consolidated Framework for Implementation Research (CFIR) 2.0
- Coordinated Implementation Model
- Davis' Pathman-PRECEED Model
- Designing and evaluating interventions to eliminate racial and ethnic disparities in health care
- Dissemination of Evidence-based Interventions to Prevent Obesity
- Exploration, Preparation, Implementation, Sustainment (EPIS) model (Conceptual Model of Evidence-based Practice Implementation in Public Service Sectors)
- Facilitating Adoption of Best Practices (FAB) Model
- Framework for Spread
- Generic Implementation Framework
- Implementation Effectiveness Model
- Intervention Mapping
- Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines
- Knowledge Exchange Framework
- Knowledge Transfer and Exchange
- Model for Improving the Dissemination of Nursing Research
- Model for Predictors of Adoption
- Practical, Robust Implementation and Sustainability Model (PRISM)
- Precede-Proceed Model
- Pronovost's 4E's Process Theory
- Six-Step Framework for International Physical Activity Dissemination
- Theoretical Domains Framework
- Weiner organizational readiness
Assessment Instruments:
External link to measures on the GEM site for the given construct.
- CFIR Interview Guide (Lam)
- CFIR Interview Guide (Zhao)
- CFIR Interview Guide Webtool
- i-PARiHS Interview Guide
- Iterative, Practical, Robust Implementation and Sustainability Model (iPRISM) Webtool
- Landry's Knowledge Utilization Scale among Policymakers
- Partnership/Synergy Assessment Tool
- PRISM Contextual Survey Instrument (PCSI)
- RAPICE Protocol, Activity, and Interview Prompt Guide
- RAPICE Summary Template
- Readiness for Recovery and Resiliency - Interview Guide
- Readiness Thinking Tool - Observation Guide
- Readiness Thinking Tool - Survey
- Rehabilitation Policy Questionnaire