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Table 4 CFIR [28] domains and constructs [106, 107] explored as barriers and facilitators to the implementation and adoption of the intervention (aim 1)

From: Protocol for the pilot quasi-experimental controlled trial of a gender-responsive implementation strategy with providers to improve HIV outcomes in Uganda

CFIR domain and constructs

Samplea

CFIR domain: Intervention characteristics

Intervention source: Perception of key stakeholders about whether the intervention was externally or internally developed

Trainers, stakeholders

Complexity/barriers: Perceived difficulty of/barriers to implementation/application of content into clinical care

Trainers, providers, stakeholders

Appropriateness: The perceived fit of the intervention for the setting and to improve care quality and patient outcomes

Trainers, providers, stakeholders

Intervention fidelity: Was the intervention implemented as intended?

Assessment of recorded sessions

CFIR domain: Outer setting

Patient needs: The extent to which patients’ gendered barriers and facilitators to care are accurately known and prioritized

Trainers, providers, stakeholders

CFIR domain: Inner setting

Relative priority: Perceived importance of implementation within the clinic and broader health system

Trainers, providers, stakeholders

Culture: Organizational norms, values, and basic assumptions specific to the following: (a) innovations in care and (b) gender equity

Trainers, providers, stakeholders

CFIR domain: Individual characteristics

Knowledge and beliefs about the intervention: Attitudes towards and value placed on the intervention, including perceptions on acceptability (satisfaction with intervention) and feasibility (can intervention be carried out within clinic/broadly)

Trainers, providers, stakeholders

Self-efficacy: Beliefs in own ability to execute implementation goals (trainers) and training content (providers)

Trainers, providers

Other personal attributes: Gender, age, and other traits

Trainers, providers

  1. aData collection methods: providers, focus-group discussions; trainers, in-depth interviews; stakeholders, key informant interviews