Table 2 Mapping of CFIR domains and constructs in interview guide
CFIR domain (definition in parenthesis) | Selected constructs from domain | Corresponding question(s) |
|---|---|---|
Innovation (characteristics of “the thing” being implemented, i.e., the innovation) | Innovation design | What is your general impression of the algorithms? Probes: What, if anything, about them is useful? What, if anything, about them was unhelpful? |
Innovation adaptability | How would the description (or orientation) of the algorithms that we presented need to be tailored to your practice? What, if any, edits did you find yourself wanting to make to the algorithms? | |
Outer setting (the setting in which the inner setting exists, e.g., the health system and community in which the practice sits) | Local conditions | What clinic (or health system) level factors would make implementing these algorithms easy? What factors would make it difficult? |
Partnerships and settings | How, if at all, would insurance company policies impact your ability to implement these algorithms? | |
Inner setting (the setting in which the innovation will be implemented, e.g., the individual practice) | Work infrastructure | How would you fit the algorithms into your workflow at your practice? How would you like to use these algorithms in your day-to-day practice (if you would like to use them – if you wouldn’t like to use them, we’d love to hear about that too)? |
Relational connections | Next, I would like to talk about implementation of these algorithms in practices like yours. First, tell me about your practice. Probes: How many providers are there? How many patients are in it? How would you describe your patient base? | |
Information technology infrastructure | What would be the benefits/drawbacks of incorporating the algorithms into the EHR? How would you do it? | |
Individuals (the roles and characteristics of individuals involved in or affected by implementation of the innovation) | Innovation recipients | How do you think patients will respond to these algorithms, and what types of things do clinicians need to do make this acceptable to patients? What would make it easy or difficult to implement these algorithms with a given patient? |
High-level leaders | How could we best get practice and PCP buy-in to implement these algorithms? | |
Mid-level leaders | What would make it easy or difficult for individual PCPs to implement these algorithms? | |
Implementation process (the activities and strategies used to implement the innovation) | Tailoring strategies | This morning, we provided you with a brief orientation (or “introduction”), or description of the algorithms. What was good about the initial description? What could have been better? How would the description (or orientation) of the algorithms that we presented need to be tailored to your practice? How would you want doctors in your practice to be oriented [trained] to the algorithms? If these algorithms were implemented in your practice, what type of ongoing training, if any, would you and your colleagues want to receive? What kind of interactive assistance would be helpful? (Having a support person in the clinic? Over the phone?) What kind of patient-level support would be helpful? (i.e., What kind of support do you need for your patients in order for you to use the algorithms effectively?) (Infrastructure? Financial?) |