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Table 2 Codebook for open-text responses to survey questions

From: Sustainment of diverse evidence-informed practices disseminated in the Veterans Health Administration (VHA): initial development and piloting of a pragmatic survey tool

CFIR construct codes

Operationalized definitions

Characteristics of the innovation domain

Codes capturing information specific to the practice regardless of where it is being implemented

aInnovation type

• Essential vs. non-essential

A practice that provided essential care vs. non-essential care in the context of the COVID-19 pandemic

• Virtual vs. in-person

A practice that was virtual vs. in-person

Outer setting domain

Codes capturing information specific to the setting outside the facility

aCommunity characteristics

Stakeholder perception of community characteristics impacting the practice, including but not limited to socio-cultural (e.g., white-supremacy, ableism), socio-economic (e.g., social assistance, housing), socio-political (e.g., government), and/or socio-geographical (e.g., built environment) characteristics.

Patient needs and resources

Stakeholder perception of patient needs, preferences, and resources

External policies and incentives

Stakeholder perception of policies impacting the practice, e.g., the CDC’s guidance regarding the COVID-19 pandemic, VHA policy changes

Inner setting domain

Codes capturing information specific to the setting within the facility

aEmployee needs and resources

Stakeholder perception of employee needs, preferences, and resources

Tension for change

Stakeholder perception of the level of need for the practice, including relevance or irrelevance of the practice during the COVID-19 pandemic

Compatibility

Stakeholder perception of the compatibility of the practice with existing workflows and processes

Available resources

Stakeholder perception of the resources available to support the practice, e.g., space, equipment

Process domain

Codes capturing information specific to the implementation and/or sustainment process

Executing

aAdapting

Stakeholder perception of the extent to which the practice was or was not adapted

Engaging

aKey stakeholders

Stakeholder perception of the extent to which employees are available and/or engaged to deliver or do the practice

aOutcomes domain

Codes capturing primary outcomes

Sustained: ongoing

The practice is in use and ongoing

Sustained: COVID-hold

The practice is in use but on a temporary hold due to the COVID-19 pandemic

Partially sustained

The practice is partially in use, e.g., only some components of the practice are in place

Never implemented/not re-implemented/not sustained

The practice is not in use

aRelationship codes

Codes (denoted by symbols) capturing relationships between constructs

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Hindered and/or stopped

>

Facilitated and/or led to

  1. a A new inductively derived construct or domain