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Related Experiment Video

Updated: Sep 11, 2025

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The Consolidated Framework for Implementation Research (CFIR) User Guide: a five-step guide for conducting

Caitlin M Reardon1,2, Laura J Damschroder3,4, Laura Ellen Ashcraft5,6

  • 1VA Center for Healthcare Evaluation, Research, and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA. Caitlin.Reardon@va.gov.

Implementation Science : IS
|August 16, 2025
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Summary

This guide provides practical tools and steps for using the updated Consolidated Framework for Implementation Research (CFIR) to improve implementation science and research outcomes.

Keywords:
BarriersData analysisData collectionFacilitatorsImplementation determinantsImplementation outcomesImplementation scienceUser guide

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Area of Science:

  • Implementation Science
  • Health Services Research

Background:

  • The Consolidated Framework for Implementation Research (CFIR) is a widely used determinant framework for implementation success.
  • An updated CFIR, informed by user feedback and extensive application, addresses the need for clearer guidance.
  • Requests for support and observed misuse highlighted the necessity for a comprehensive user guide.

Purpose of the Study:

  • To provide a user guide with essential tools and templates for applying the updated CFIR in implementation research.
  • To ensure appropriate and consistent application of the CFIR framework.
  • To facilitate the advancement of implementation science through feedback and critique.

Main Methods:

  • The user guide was developed by the CFIR Leadership Team, including original and updated framework developers.
  • The guide incorporates collective experience from over 50 CFIR projects.
  • Key components were finalized through consensus discussions.

Main Results:

  • A five-step process is outlined for using CFIR throughout a research project: Study Design, Data Collection, Data Analysis, Data Interpretation, and Knowledge Dissemination.
  • The guide includes a Frequently Asked Questions (FAQs) section addressing user queries.
  • Six practical tools and templates are provided: CFIR Construct Example Questions, CFIR Construct Coding Guidelines, Inner Setting Memo Template, CFIR Construct Rating Guidelines, CFIR Construct x Inner Setting Matrix Template, and a CFIR Implementation Research Worksheet.

Conclusions:

  • This user guide offers a detailed approach to utilizing the CFIR in implementation research, from study inception to dissemination.
  • It aims to standardize CFIR application and encourage further development in the field.
  • The provided resources are intended to enhance the effective use of the CFIR framework.