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Table 1 Site-level CFIR rating matrix

From: 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

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  
  1. 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)
  2. CFIR Consolidated Framework for Implementation Research