Table 2 Relevant CFIR Domains with definitions as applied to integrated stepped care for unhealthy alcohol use
From: Implementation of integrated stepped care for unhealthy alcohol use in HIV clinics
Domain | Definition |
|---|---|
I. Intervention characteristics: integrated stepped care for unhealthy alcohol use | |
 Evidence strength & quality | Providers’ perception of the quality and validity of evidence supporting the belief that integrated stepped care for unhealthy alcohol use will lead to decreased unhealthy alcohol use |
 Relative advantage | Providers’ perception of the advantage of implementing integrated stepped care for unhealthy alcohol use versus an alternative solution |
 Adaptability | The degree to which integrated stepped care for unhealthy alcohol use can be adapted, tailored, refined, or reinvented to meet local needs |
 Complexity | Perceived difficulty of implementation, reflected by duration, scope, radicalness, disruptiveness, centrality, and intricacy and number of steps required to implement |
 Design quality & packaging | Perceived excellence in how integrated stepped care for unhealthy alcohol use is bundled, presented, and assembled |
II. Inner domain: HIV clinics | |
 Networks and communications | The nature and quality of webs of social networks and the nature and quality of formal and informal communications within VA-based HIV clinics and across providers |
 Implementation climate | The absorptive capacity for change, shared receptivity of involved individuals to integrated stepped care for unhealthy alcohol use and the extent to which use of it will be rewarded, supported, and expected within the VA |
  Tension for change | The degree to which providers perceive the current situation as intolerable or needing change |
  Compatibility | The degree of tangible fit between meaning and values attached to integrated stepped care for unhealthy alcohol use by involved individuals, how those align with individuals’ own norms, values, and perceived risks and needs, and how this treatment model with existing workflows and systems |
  Relative priority | Individuals’ shared perception of the importance of the implementation within the VA-based HIV clinics |
 Readiness for implementation | Tangible and immediate indicators of organizational commitment to its decision to implement integrated stepped care for unhealthy alcohol use |
  Available resources | The level of resources dedicated for implementation and on-going operations, including money, training, education, physical space, and time |
  Access to knowledge & information | Ease of access to digestible information and knowledge about the intervention and how to incorporate it into work tasks |
III. Characteristics of individuals: providers | |
 Self-efficacy | Providers’ belief in their own capabilities to execute courses of action to achieve implementation goals |
 Individual stage of change | Characterization of the phase a provider is in, as he/she progresses toward skilled, enthusiastic and sustained use of integrated stepped care for unhealthy alcohol use |