Consolidated Framework for Implementation Research (CFIR)
D and/or I:
The focus on dissemination and/or implementation activities. D-only focuses on an active approach of spreading evidence-based interventions to target audience via determined channels using planned strategies. D=I, D>I, and I>D means there is some focus on both dissemination and implementation. I-only focuses on process of putting to use or integrating evidence-based interventions within a setting.
I-Only 
The focus on dissemination and/or implementation activities. D-only focuses on an active approach of spreading evidence-based interventions to target audience via determined channels using planned strategies. D=I, D>I, and I>D means there is some focus on both dissemination and implementation. I-only focuses on process of putting to use or integrating evidence-based interventions within a setting.
Socio-Ecological Levels:
The level of the framework at which the model operates. Individual includes personal characteristics; Organization includes hospitals, service organizations, and factories; Community includes local government and neighborhoods; System includes hospital systems and government; Policy includes changes in policy.
The level of the framework at which the model operates. Individual includes personal characteristics; Organization includes hospitals, service organizations, and factories; Community includes local government and neighborhoods; System includes hospital systems and government; Policy includes changes in policy.
- Individual
- Organization
- Community
- System
- Policy
Number of Times Cited:
The # of times the original publication for the model was cited as indicated by Google Scholar since 2016.
2980
The # of times the original publication for the model was cited as indicated by Google Scholar since 2016.
Figure:
Field of Origin:
The field of study in which the model originated.
Health services
The field of study in which the model originated.
Practitioner/Researcher:
Whether the model is for the use of practitioners and/or researchers.
Researcher
Whether the model is for the use of practitioners and/or researchers.
Rating:
These are ratings given by users of the site.
These are ratings given by users of the site.
Constructs:
Name of the construct developed by classifying/aligning the elements abstracted from models.
Name of the construct developed by classifying/aligning the elements abstracted from models.
- Adaptation and evolution
- Adopter/implementer/decision maker characteristics
- Champion/field agent
- Communication
- Communication channels
- Compatibility
- Complexity
- Context – Inner setting
- Cost
- Engagement
- Evaluation
- Implementation
- Innovation characteristics
- Knowledge and Knowledge Synthesis
- Readiness
- Trialability
- Patient/target audience characteristics and needs
- Process
- Relative advantage
- Stakeholders
- Health Equity
Assessment Instruments:
Name of the assessment developed by classifying/aligning the elements abstracted from models.
Name of the assessment developed by classifying/aligning the elements abstracted from models.
- AHRQ Digital Health Equity Framework
- Clinical Sustainability Assessment Tool (CSAT)
- Consolidated Framework for Implementation Research (CFIR) Interview Guide (Lam)
- Consolidated Framework for Implementation Research (CFIR) Interview Guide (Zhao)
- Consolidated Framework for Implementation Research (CFIR) Interview Guide Webtool
- Context Matters Reporting Template
- Cost of Implementing New Strategies (COINS)
- Ethnographic Assessment of Partner Engagement
- Evidence Based Practice Attitude Scale (EBPAS)
- Glisson's Organizational Social Context (OSC)
- Hall's Levels of Use Scale
- Implementation Climate Scale (ICS)
- Implementation Leadership Scale (ILS)
- Implementation Strategy Usability Scale
- Intervention Scalability Assessment Tool (ISAT)
- Iterative, Practical, Robust Implementation and Sustainability Model (iPRISM) Webtool
- Landry's Knowledge Utilization Scale among Policymakers
- Local Wellness Policy Implementation Checklist
- Local Wellness Policy Survey
- Longitudinal Implementation Strategy Tracking System (LISTS)
- Normalization Process Theory Interview Guide
- Normalization Process Theory Questionnaire (NoMAD)
- Organizational Readiness for Implementing Change (ORIC)
- Partnership/Synergy Assessment Tool
- Policy Coalition Evaluation Tool (PCET)
- Practical, Robust Implementation and Sustainability Model (PRISM) Contextual Survey Instrument (PCSI)
- Practical, Robust Implementation and Sustainability Model (PRISM) Interview Guide
- Program Sustainability Assessment Tool (PSAT)
- Rapid Assessment Procedure Informed Clinical Ethnography (RAPICE) Protocol, Activity, and Interview Prompt Guide
- Rapid Assessment Procedure Informed Clinical Ethnography (RAPICE) Summary Template
- Readiness Thinking Tool - Observation Guide
- Readiness Thinking Tool - Survey
- Readiness for Recovery and Resiliency - Interview Guide
- Rehabilitation Policy Questionnaire
- Research Engagement Survey Tool (REST)
- Research Engagement Survey Tool (REST) - 9 item
- Short Program Sustainability Assessment Tool (PSAT)
- Stages of Implementation Completion (SIC)
- User Engagement Scale (UES)
- User Engagement Scale (UES) - Short
- Van Schaik's Technology Acceptance Model (TAM)
- integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) Interview Guide
Website:
Website.
https://cfirguide.org/
Website.
Citations:
The original publication(s) of the model.
Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci 2009;4:50.
The original publication(s) of the model.
Examples:
Citations of studies that have used the model as an outline for their study.
Allen M, Wilhelm A, Ortega LE, Pergament S, Bates N, Cunningham B. Applying a Race(ism)-Conscious Adaptation of the CFIR Framework to Understand Implementation of a School-Based Equity-Oriented Intervention. Ethn Dis. 2021 May 20;31(Suppl 1):375-388. doi: 10.18865/ed.31.S1.375. Read this resource View Case Study
Citations of studies that have used the model as an outline for their study.
Gordon EJ, Lee J, Kang RH, Caicedo JC, Holl JL, Ladner DP, Shumate MD. A complex culturally targeted intervention to reduce Hispanic disparities in living kidney donor transplantation: an effectiveness-implementation hybrid study protocol. BMC Health Serv Res. 2018 May 16;18(1):368. doi: 10.1186/s12913-018-3151-5.
Hartzler B, Lash SJ, Roll JM. Contingency management in substance abuse treatment: a structured review of the evidence for its transportability. Drug Alcohol Depen 2011;122(1-2):1-10.
Lash SJ, Timko C, Curran GM, McKay JR, Burden JL. Implementation of evidence-based substance use disorder continuing care interventions. Psychol Addict Behav 2011;25(2):238-51.
Sarkies M, Long JC, Pomare C, Wu W, Clay-Williams R, Nguyen HM, Francis-Auton E, Westbrook J, Levesque JF, Watson DE, Braithwaite J. Avoiding unnecessary hospitalisation for patients with chronic conditions: a systematic review of implementation determinants for hospital avoidance programmes. Implement Sci. 2020 Oct 21;15(1):91. doi: 10.1186/s13012-020-01049-0.
Sorensen JL, Kosten T. Developing the tools of implementation science in substance use disorders treatment: applications of the consolidated framework for implementation research. Psychol Addict Behav 2011;25(2):262.
Williams EC, Johnson ML, Lapham GT, et al. Strategies to implement alcohol screening and brief intervention in primary care settings: a structured literature review. Psychol Addict Behav 2011;25(2):206-14.
Health Equity Examples:
Citations of health equity studies that have used the model as an outline for their study.
Allen M, Wilhelm A, Ortega LE, Pergament S, Bates N, Cunningham B. Applying a Race(ism)-Conscious Adaptation of the CFIR Framework to Understand Implementation of a School-Based Equity-Oriented Intervention. Ethn Dis. 2021 May 20;31(Suppl 1):375-388. doi: 10.18865/ed.31.S1.375. Read this resource View Case Study
Citations of health equity studies that have used the model as an outline for their study.
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