Table 3 Barriers to CRC screening activities in SFCCC by informants’ roles according to CFIR

Outer setting

Needs and resources of patients

Housing instability

X

X

X

X

Patients’ hesitancy to doing tests that involve stool

X

X

Patients’ poor adherence to completing screening

X

X

Unmet basic needs

X

X

Inner setting

Structural characteristics

Different screening programs in clinics

X

Implementation climate–relative priority

Other priorities in the clinics

X

X

Readiness for implementation—leadership engagement

Lack of engagement from providers and leadership

X

Readiness for implementation—available resources

Lack of staff

X

X

X

X

Staff turnover

X

X

Lack of materials

X

X

Process

Planning

Poor tracking of information

X

X

Lack of an organized strategy after patients have an abnormal FIT

X

X

Executing

Failures on the implementation of screening strategies

X

X