Table 3 Recommended ERIC strategies mapped to CFIR implementation barriers
ERIC Cluster | ERIC Strategies | Primary Endorsed CFIR Barriers | |||||
|---|---|---|---|---|---|---|---|
Cumulative Percent | Adaptability | Complexity | Patient Needs & Resources | Compatibility | Self-efficacy | ||
Adapt and tailor to content | Promote adaptability | 183% | 73% | 40% | 14% | 45% | 11% |
Adapt and tailor to content | Tailor strategies | 125% | 35% | 27% | 14% | 38% | 11% |
Develop collaborator interrelationships | Identify and prepare champions | 108% | 23% | 30% | 5% | 21% | 30% |
Conduct local consensus discussions | 107% | 31% | 7% | 29% | 41% | 0% | |
Capture and share local knowledge | 103% | 35% | 27% | 10% | 14% | 19% | |
Model and simulate change | 83% | 19% | 27% | 0% | 3% | 33% | |
Identify early adopters | 76% | 27% | 20% | 0% | 10% | 19% | |
Organize clinician implementation team meetings | 53% | 8% | 20% | 0% | 14% | 11% | |
Build a coalition | 50% | 15% | 0% | 14% | 21% | 0% | |
Visit other sites | 48% | 19% | 3% | 0% | 10% | 15% | |
Use advisory boards and workgroups | 43% | 4% | 0% | 29% | 3% | 7% | |
Use an implementation adviser | 40% | 8% | 10% | 5% | 10% | 7% | |
Inform local opinion leaders | 36% | 15% | 13% | 0% | 3% | 4% | |
Engage consumers | Involve patients/consumers and family members | 93% | 8% | 0% | 71% | 10% | 4% |
Prepare patients/consumers to be active participants | 51% | 0% | 0% | 48% | 3% | 0% | |
Intervene with patients/consumers to enhance uptake & adherence | 38% | 8% | 3% | 24% | 3% | 0% | |
Provide interactive assistance | Facilitation | 93% | 27% | 20% | 0% | 24% | 22% |
Provide local technical assistance | 61% | 4% | 17% | 5% | 14% | 22% | |
Provide clinical supervision | 33% | 0% | 7% | 5% | 10% | 11% | |
Centralize technical assistance | 31% | 0% | 10% | 0% | 10% | 11% | |
Support clinicians | Facilitate relay of clinical data to providers | 28% | 4% | 3% | 10% | 3% | 7% |
Create new clinical teams | 27% | 0% | 3% | 10% | 7% | 7% | |
Train and educate collaborators | Create a learning collaborative | 100% | 23% | 33% | 0% | 14% | 30% |
Conduct ongoing training | 77% | 0% | 37% | 0% | 0% | 41% | |
Provide ongoing consultation | 77% | 8% | 20% | 5% | 3% | 41% | |
Conduct educational meetings | 60% | 12% | 13% | 10% | 10% | 15% | |
Develop educational materials | 56% | 12% | 13% | 10% | 3% | 19% | |
Shadow other experts | 55% | 12% | 7% | 0% | 3% | 33% | |
Make training dynamic | 54% | 0% | 10% | 0% | 3% | 41% | |
Conduct educational outreach visits | 45% | 12% | 7% | 5% | 0% | 22% | |
Distribute educational materials | 23% | 12% | 3% | 5% | 0% | 4% | |
Use train the trainer strategies | 21% | 0% | 7% | 0% | 0% | 15% | |
Use evaluative and iterative strategies | Assess for readiness and identify barriers and facilitators | 140% | 31% | 30% | 33% | 34% | 11% |
Conduct cyclical small tests of change | 133% | 23% | 37% | 10% | 38% | 26% | |
Conduct local needs assessment | 116% | 35% | 3% | 57% | 21% | 0% | |
Obtain and use patients/consumers and family feedback | 94% | 4% | 0% | 76% | 10% | 4% | |
Develop a formal implementation blueprint | 70% | 8% | 43% | 5% | 3% | 11% | |
Purposely reexamine the implementation | 61% | 12% | 17% | 5% | 28% | 0% | |
Stage implementation scale up | 55% | 0% | 30% | 0% | 10% | 15% | |
Audit and provide feedback | 41% | 4% | 3% | 5% | 7% | 22% | |
Develop and implement tools for quality monitoring | 28% | 0% | 7% | 14% | 3% | 4% | |
Develop and organize quality monitoring systems | 25% | 4% | 10% | 0% | 3% | 7% | |
Utilize financial strategies | Alter incentive/allowance structures | 30% | 0% | 7% | 10% | 10% | 4% |