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Developing the intersectionality supplemented Consolidated Framework for Implementation Research (CFIR) and tools for
Isabel B Rodrigues1,2, Christine Fahim3, Yasmin Garad2
1Department of Medicine, McMaster University, Hamilton, ON, Canada.
BMC Medical Research Methodology
|November 10, 2023
Summary
This study integrates intersectionality into the Consolidated Framework for Implementation Research (CFIR) to better understand how social structures impact intervention implementation. The enhanced CFIR and accompanying tool help researchers apply an intersectional lens.
Area of Science:
- Implementation Science
- Social Determinants of Health
- Health Equity
Background:
- Intersectionality, a framework examining how social identities intersect with systems of oppression and privilege, is crucial for understanding diverse experiences.
- Despite its acceptance in social sciences, intersectionality has been underutilized in implementation science.
- This study addresses the gap by proposing an intersectional lens for a widely used implementation science framework.
Purpose of the Study:
- To supplement the Consolidated Framework for Implementation Research (CFIR) with an intersectional perspective.
- To develop a practical tool to guide researchers in applying intersectionality within implementation science projects.
- To enhance the understanding of how intersecting social constructs influence intervention implementation and outcomes.
Main Methods:
- An interdisciplinary committee utilized a nominal group technique to prioritize frameworks for intersectional supplementation.
- The Consolidated Framework for Implementation Research (CFIR) was selected for modification.
- An iterative process involving a subgroup developed recommendations and prompts for integrating intersectionality into CFIR constructs.
Main Results:
- The modified CFIR now includes 28 constructs, with two new constructs added to the 'Outer Setting' domain.
- Intersectionality prompts were integrated into 13 of the 28 CFIR constructs.
- A tool was developed to assist researchers in applying the intersectionality-supplemented CFIR.
Conclusions:
- The Consolidated Framework for Implementation Research (CFIR) has been successfully modified to incorporate intersectionality.
- The developed tool and updated framework provide practical guidance for researchers.
- This work facilitates a more nuanced understanding of implementation science by considering the impact of intersecting social identities and power structures.
Keywords:
CFIRConsolidated framework for implementation researchDiversityEquityFrameworksImplementation scienceInclusionIntersectionalityKnowledge translationModelsTheoriesMore Related Videos
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