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Table 1 Comparison of constructs evidenced through literature review with external factor constructs in existing frameworks

From: Defining the external implementation context: an integrative systematic literature review

 

Consolidate Framework for Implementation Research (CFIR) [3]

Exploration, Preparation, Implementation, Sustainment (EPIS) [4]a

Integrated Promoting Action on Research Implementation in Health Services (i-PARiHS) [6]b

Multi-level framework (MLF) predicting implementation outcomes [5]

Professional influences

--

Interorganizational networks

--

--

Political support

--

Sociopolitical; Client advocacy

--

Political or social climate

Social climate

--

--

--

Political or social climate

Local infrastructure

--

--

--

Infrastructure

Policy & legal climate

External policies and incentives

--

Policy drivers & priorities; incentives & mandates; regulatory frameworks

Public policies

Relational climate

Cosmopolitanism

Interorganizational networks

Interorganizational networks & relationships

--

Target population

Patient needs and resources

Client advocacy

--

--

Economic & funding climate

--

Funding

--

Economic climate

No directly comparable construct or too broad to directly parallel to identified constructs

Peer pressure

Intervention developers; Leadership

Environmental (in) stability (definition unclear)

Physical environment

  1. '--' = No directly comparable construct
  2. aOnly the active implementation phase of the EPIS framework is considered here since this was the focus of the current literature review
  3. bWe focus on the revised version of the PARiHS, as the original did not address the external context; The i-PARiHS is limited in its conceptualization of the external context, as it only considers the external health system