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Table 1 Domains of the CFIR

From: The facilitators and barriers to implementing patient reported outcome measures in organisations delivering health related services: a systematic review of reviews

Domain

Description

Example constructs

The intervention

In this case the design of the PROMs and associated processes for administering, analysing and using the data collected.

• Intervention source

• Adaptability

• Design

Outer setting

Factors external to the organisation which may impact on implementation. This includes the needs of patients that access the organisation.

• Patients’ needs and resources

• Peer pressure

• External policy and incentives

Inner setting

Factors internal to the organisation which may impact on implementation. For example available resources.

• Structural characteristics

• Culture

• Implementation climate

Characteristics of individuals

The impact of the views and behaviours of individuals within the organisation on implementation.

• Knowledge and beliefs about the intervention

• Individuals stage of change

• Individual identification with an organisation

Process

In this case, issues related to implementing PROMs such as evaluating the success of implementation.

• Planning

• Engaging

• Executing