Table 1 Overview of Themes by CFIR Domain
CFIR Domain | Key themes | Facilitator or Barrier |
|---|---|---|
Characteristics of Individuals | Staff acceptability and belief in the service | Facilitator |
Personal attributes and skills of project managers | Facilitator | |
Characteristics of the intervention | Bottom-up development with engagement from existing staff, managers and service users | Facilitator |
Using a flexible, person-centred, non-clinical ethos | Facilitator | |
Adaptability: creating a service that responds to the reality of crisis | Facilitator | |
Complexities of Digital Crisis Care | Barrier | |
The Process of Implementation | Planning and piloting | Facilitator |
Service user involvement | Facilitator | |
Learning from existing services | Facilitator | |
Reflecting, evaluating, and executing change | Facilitator | |
Resources, costs, and sustainability of capital funded approaches | Barrier | |
The Inner Setting | Leadership and management buy-in | Facilitator |
Complexities of staffing services | Barrier | |
The Outer Setting | Adaptability to a local context | Facilitator |
Engaging key stakeholders and partners in development | Facilitator | |
Policy changes | Barrier | |
Delays due to Covid-19 | Barrier | |
Funding delays | Barrier |