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Table 2 CFIR-ERIC Implementation Strategy [23] examples

From: Optimising symptom management in children with cancer using a novel mobile phone application: protocol for a controlled hybrid effectiveness implementation trial (RESPONSE)

CFIR Potential Barriers Identified

ERIC Strategies

Intervention characteristics:

• Stakeholders perception of RESPONSE intervention unclear

• Stakeholders believe the innovation is complex based upon disruptiveness and number of steps needed to implement

• Assess for readiness an identify barriers and facilitators

• Create a learning collaborative, tailor strategies, promote adaptability

Inner setting

• Cultural norms, values and assumption may hinder implementation

• There is little motivation for change, and no expectation that use of the innovation will be rewarded, supported or expected

• Involve Executive Boards

• Inform local opinion leaders

• Identify early adopters

• Conduct local needs assessment

• Designate and train for leadership

Process

• Little or no quantitative and qualitative feedback about the progress and quality of implementation nor regular debriefing about progress and experience

• Audit and provide feedback

• Develop and implement tools for quality monitoring

• Develop formal implementation blueprint

  1. CFIR Consolidated Framework for Implementation Research [30]
  2. ERIC Expert Recommendation for Implementing Change compilation [31]