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Table 4 Changes to CFIR survey items after cognitive interviews

From: Prenatal oral health guidelines: a theory- and practice-informed approach to survey development using a modified-Delphi technique and cognitive interviews

CFIR construct

Initial survey item

Final survey item, post-edits

Implementation Climate

The degree to which my organization expects and supports the implementation of the guidelines.

Changed to two items:

The degree to which my organization expects the implementation of the guidelines

The degree to which my organization supports the implementation of the guidelines.

The compatibility of the guidelines with the workflow of my organization.

The compatibility of the guidelines to fit within the current workflow of my organization.

The degree to which feedback on implementation progress is provided and acted upon in my organization.

The degree to which my organization provides feedback on the implementation process.

Implementation Readiness

The degree to which there are dedicated resources for implementing the guidelines into my organization (e.g., money, training, time).

The degree to which there are dedicated resources for implementing the guidelines into my organization (e.g., staff, money, training, time).

The degree to which there is access to easy digestible information about the guidelines and how to implement them into practice.

The degree to which there is access to information about the guidelines and how to implement them into practice.

Process

Having a champion in my organization to support and reinforce the guidelines.

Having a champion (e.g., someone who takes it upon themselves to promote and support the guidelines) in my organization.