Table 2 Overview of needs assessment qualitative guides

CFIR Qualitative Focus Group Guide for NCMs and CHWs

Explore NCM and CHW perspectives of potential barriers and facilitators for the adoption of a hypertension management program at NYULH practice sites

Inner Setting

Readiness for implementation (NCM/CHWs, leadership), implementation climate (compatibility, relative priority, organizational incentives, and rewards), structural characteristics, tension for change, networks and communications, implementation climate (learning climate, goals, and feedback), and organizational culture.

Outer Setting

Peer pressure, patient needs, and patient resources

Individual Characteristics

Knowledge and beliefs about the intervention, self-efficacy, individual stage of change, personal attributes (i.e., skills for implementing the program), and individual identification with the organization

Intervention Characteristics

Relative advantage, trialability, complexity, and design quality and packaging

Qualitative Interview Guide for CBOs and FBOs

Assess capacity and readiness for developing and integrating a community-clinic referral linkage program at CBOs and FBOs

Background/Organizational Structure

Organizational characteristics and existing organizational structures

Readiness and Capacity

Organizational preparedness, organizational capacity

Organizational Workflow

Referral and partnership workflows

Partnership Evaluation

Organizational attitudes toward partnership formation with outside organizations, organizational beliefs about partnership formation with outside organizations

Experiences of Stress, Racism, and Racial Discrimination

Perceptions of community-level stress, perceptions of community-level racism, perceptions of community-level racial discrimination

CFIR Qualitative Interview Guide for Providers, Practice Site Leaders, and NYULH Institutional Leaders

Explore Provider, Practice Site Leadership, and Institutional Leadership perspectives of potential barriers and facilitators for the adoption of a hypertension management program within NYULH

Inner Setting

Organizational capacity to implement hypertension management programs; organizational capacity to administer hypertension management programs

Outer Setting

Perceptions of patient experiences with a hypertension management program

Engagement

Leadership engagement with Nurses working on hypertension management

Stress/Discrimination in Hypertension Management

Perceived organizational-level experiences of racism/discrimination, perceived organizational-level experience of stress