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The updated Consolidated Framework for Implementation Research based on user feedback.

Laura J Damschroder1, Caitlin M Reardon2, Marilla A Opra Widerquist1

  • 1VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, 2215 Fuller Road, MI, 48105, Ann Arbor, USA.

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PubMed
Summary
This summary is machine-generated.

Updates to the Consolidated Framework for Implementation Research (CFIR) were made based on user feedback to improve its assessment of real-world implementation contextual factors. These revisions enhance the framework for advancing implementation science.

Keywords:
CFIRConsolidated Framework for Implementation ResearchImplementation determinantsImplementation evaluationImplementation frameworkImplementation outcomesImplementation scienceTheory

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Area of Science:

  • Implementation Science
  • Health Services Research
  • Healthcare Management

Background:

  • Implementation efforts often fail due to real-world contextual factors.
  • The Consolidated Framework for Implementation Research (CFIR) is a key determinant framework for assessing these factors.
  • The original CFIR framework, published over a decade ago, required updates based on user feedback.

Approach:

  • A systematic literature review and author survey were conducted to gather user feedback on the CFIR.
  • Data from both sources were synthesized to identify themes and inform framework revisions.
  • A consensus approach was used to finalize all updates to the CFIR.

Key Points:

  • The CFIR received positive usability and applicability ratings, but users recommended specific changes.
  • Updates include revisions to existing domains/constructs and the addition/removal/relocation of constructs.
  • Key critiques addressed include better centering innovation recipients and incorporating equity determinants.

Conclusions:

  • Updated CFIR reflects community feedback, enhancing its utility for implementation science.
  • Constructs can be mapped to the original CFIR for longitudinal consistency.
  • Continued user critique is encouraged to evolve the framework as implementation science advances.