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Table 3 Significant supports and barriers to implementation identified in included papers and aligned to CFIR domains and factors

From: Implementation science in adolescent healthcare research: an integrative review

CFIR Domain

CFIR Domain Factor

Facilitators

n

Barriers

n

Intervention characteristics

Intervention Source

(Kingsley 2020) [21]

1

(Westerlund et al. 2020) [18]

1

Evidence Strength and Quality

(Amaya-Jackson et al. 2018; Nadeem et al. 2018; Kingsley 2020) [26,25,21] 

3

(Kingsley 2020; Westerlund et al. 2020) [21,18]

2

Relative Advantage

(Anaby et al. 2015; Radovic et al. 2019; Westerlund et al. 2020; Couturier et al. 2021) [22,16,18,20]

4

(Nadeem et al. 2018) [25]

1

Adaptability

(Stanhope et al. 2018; Radovic et al. 2019; Kingsley 2020; Shafran et al. 2020) [17,16,21,27]

4

(Beidas et al. 2016; Couturier et al. 2018; Stanhope et al. 2018; Radovic et al. 2019; Westerlund et al. 2020; Couturier et al. 2021) [24,19,17,16,18,20]

6

Trialability

-

0

-

0

Complexity

(Nadeem et al. 2018; Kingsley 2020) [25,21]

2

(Anaby et al. 2015; Beidas et al. 2016; Henderson et al. 2017; Couturier et al. 2018; Nadeem et al. 2018; Radovic et al. 2019; Kingsley 2020; Shafran et al. 2020) [22,24,15,20,25,16,21,27]

8

Design Quality and Packaging

(Anaby et al. 2015: Radovic et al. 2019; Kingsley 2020; Couturier et al. 2021) [22,16,21,20]

4

(Radovic et al. 2019) [16]

1

Cost

(Amaya-Jackson et al. 2018) [26]

1

(Amaya-Jackson et al. 2018) [26]

1

Outer setting

Patient Needs and Resources

(Nadeem et al. 2018; Radovic et al. 2019; Shafran et al. 2020) [25,16,27]

3

(Beidas et al. 2016; Amaya-Jackson et al. 2018; Couturier et al. 2018; Nadeem et al. 2018; Stanhope et al. 2018; Kingsley 2020; Shafran et al. 2020; Westerlund et al. 2020) [24,26,19,25,17,21,27,18]

8

Cosmopolitanism

-

0

-

0

Peer Pressure

-

0

-

0

External Policies and Incentives

-

0

(Beidas et al. 2016; Stanhope et al. 2018) [24,17]

2

 

Structural Characteristics

(Kingsley 2020) [21]

1

(Beidas et al. 2016; Couturier et al. 2018; Nadeem et al. 2018; Stanhope et al. 2018) [24,19,25,17]

4

 

Networks and Communications

(Henderson et al. 2017; Amaya-Jackson et al. 2018; Couturier et al. 2018; Radovic et al. 2019) [15,26,19,16]

4

(Radovic et al. 2019; Westerlund et al. 2020) [16,18]

2

 

Culture

(Anaby et al., 2015) [22]

1

(Anaby et al. 2015; Kingsley 2020; Westerlund et al. 2020) [22,21,18]

3

 

Implementation Climate

(Anaby et al. 2015; Westerlund et al. 2020) [22,18]

2

(Beidas et al. 2016; Nadeem et al. 2018; Stanhope et al. 2018; Westerlund et al. 2020) [24,25,17,18]

4

 

Tension for Change

(Radovic et al. 2019; Westerlund et al. 2020) [16,18]

2

(Westerlund et al. 2020) [18]

1

 

Compatibility

(Radovic et al. 2019; Kingsley 2020) [16,21]

2

(Stanhope et al. 2018; Westerlund et al. 2020) [17,18]

2

 

Relative Priority

(Kingsley 2020) [21]

1

(Anaby et al. 2015) [22]

1

 

Organizational Incentives and Rewards

(Beidas et al. 2016) [24]

1

(Beidas et al. 2016) [24]

1

 

Goals and Feedback

-

0

-

0

 

Learning Climate

(Radovic et al. 2019) [16]

1

-

0

 

Readiness for Implementation

(Radovic et al. 2019) [1619]

1

-

0

 

Leadership Engagement

(Beidas et al. 2016; Nadeem et al. 2018) [24,25]

2

(Nadeem et al. 2018) [25]

1

 

Available Resources

(Beidas et al. 2016; Henderson et al. 2017; Amaya-Jackson et al. 2018; Nadeem et al. 2018; Stanhope et al. 2018; Couturier et al. 2021; Kingsley 2020) [24,15,26,25,17,20,21]

7

(Anaby et al. 2015; Beidas et al. 2016; Henderson et al. 2017; Amaya-Jackson et al. 2018; Couturier et al. 2018; Nadeem et al. 2018; Stanhope et al. 2018; Radovic et al. 2019; Couturier et al. 2021; Kingsley 2020; Shafran et al. 2020; Westerlund et al. 2020) [22,24,15,26,19,25,17,16,20,21,27,18]

12

Inner setting

Access to Knowledge and Information

-

0

-

0

 

Knowledge and Beliefs about the Intervention

(Anaby et al. 2015; Radovic et al. 2019) [22,16]

2

(Nadeem et al. 2018; Kingsley 2020; Westerlund et al. 2020) [25,21,18]

3

 

Self-efficacy

(Radovic et al. 2019) [16]

1

-

0

 

Individual Stage of Change

(Anaby et al. 2015) [22]

1

-

0

 

Individual Identification with Organization

-

0

-

0

Individual characteristics

Other Personal Attributes

(Anaby et al. 2015) [22]

1

-

0

 

Planning

(Beidas et al. 2016; Snider et al. 2016; Amaya-Jackson et al. 2018; Kingsley 2020) [24,23,26,21]

4

(Beidas et al. 2016) [24]

1

 

Engaging

(Anaby et al., 2014; Beidas et al. 2016; Snider et al. 2016; Henderson et al. 2017; Amaya-Jackson et al., 2018; Couturier et al. 2018; Nadeem et al. 2018; Stanhope et al. 2018; Couturier et al. 2021; Radovic et al. 2019; Kingsley 2020; Shafran et al. 2020) [22,24,23,15,26,19,25,17,20,16,21,27]

12

(Nadeem et al. 2018; Westerlund et al., 2020) [25,18]

2

 

Opinion Leaders

(Nadeem et al. 2018; Kingsley 2020) [25,21]

2

-

0

 

Formally Appointed Internal Implementation Leaders

(Nadeem et al. 2018; Stanhope et al. 2018; Couturier et al. 2021) [25,17,20]

3

-

0

 

Champions

(Nadeem et al. 2018) [25]

1

-

0

 

External Change Agents

-

0

-

0

 

Executing

(Amaya-Jackson et al. 2018) [26]

1

(Kingsley 2020) [21]

1

Process

Reflecting and Evaluating

(Anaby et al. 2015; Couturier et al. 2021) [22,20]

2

(Couturier et al. 2021) [20]

1