Factors influencing uptake of telemental health via videoconferencing at high and low adoption sites within the Department of Veterans Affairs during COVID-19: a qualitative study

Table 1 Site-level CFIR rating matrix

CFIR domain/construct	Site rating				Differentiator, positive overall, negative overall
	Higher adoption sites		Lower adoption sites
	Site 1	Site 2	Site 3	Site 4
I. Intervention characteristics
Complexity	− 2	− 2	− 2	− 2	Negative overall
Quality	2	1	0	0	Differentiator
Relative advantage	1	1	2	0	Positive overall
II. Outer setting
External policies and incentives	1	0	0	1
Patient needs and resources	1	1	1	0	Positive overall
III. Inner setting
Access to knowledge and info	1	0	1	− 2
Available resources	0	1	1	− 1
Compatibility	1	0	− 1	− 1	Differentiator
Culture	2	0	Missing	Missing
Goals and feedback	Missing	0	1	1
Implementation climate	1	1	Missing	Missing
Incentives and rewards	0	Missing	0	Missing
Leadership engagement	2	2	0	− 1	Differentiator
Networks and communication	2	Missing	Missing	− 1
Relative priority	1	1	0	1	Positive overall
IV. Characteristics of individuals
Knowledge and beliefs	1	1	1	0	Positive overall
Self-efficacy	1	0	1	1	Positive overall
V. Process
Champions	2	1	0	0	Differentiator
Planning	1	Missing	0	Missing

Note. See Additional file 3 for Damschroder et al.’s numeric rating criteria. A construct was determined to be positive overall if at least three of the four sites had a positive rating and no sites had a negative rating. Conversely, negative overall indicates that at least three of the four sites had a negative rating and no sites had a positive rating. A construct was determined to be a differentiator if a consistent pattern emerged in at least three of the four sites, with no contradictory ratings (e.g., both of the lower-adoption sites had negative scores, at least one of the higher-adoption sites had a positive score, and none of the higher-adoption sites had a negative score)
CFIR Consolidated Framework for Implementation Research

ISSN: 2662-2211