Implementing alcohol use disorder pharmacotherapy in primary care settings: a qualitative analysis of provider-identified barriers and impact on implementation outcomes

Table 3 CFIR construct ratings by site

Site number: prescribing rate change [25]	Site 1: NS trend toward increase	Site 2: No change	Site 3: Significant increase
CFIR construct
Innovation/intervention characteristics domain
Evidence strength and quality	0	+ 1	+ 1
Relative Advantage	+ 1*	− 2*	− 1*
Adaptability	+ 2	–	− 1*
Trialability	+ 2*	+ 2	+ 1*
Complexity	− 2	− 1	− 1
Design quality and packaging	+ 1*	− 1*	− 1*
Outer setting domain
Peer pressure	0	0	0
External policy and incentives	0	+ 1	0
Inner setting domain
Network and communications	+ 1*	+ 1	+ 1*
Culture	− 2*	–	− 1
Implementation climate
Compatibility	− 2	− 2	− 2
Relative priority	+ 1*	− 1	− 1*
Organizational incentives and rewards	0	0	+ 1
Readiness for implementation
Available resources	+ 1*	− 1	− 1*
Access to knowledge and information	− 1*	+ 1	− 2
Characteristics of individuals domain
Knowledge and beliefs about the innovation/intervention	− 1*	− 1	− 1*
Self-efficacy	+ 1*	− 2*	+ 1*
Other personal attributes
Attitude toward patients	− 1	− 2	− 2

The following CFIR constructs had fewer than thee respondents with statements coded to that construct at all three facilities and therefore were not analyzed: Innovation/Intervention Source, Cost, Patient Needs and Resources, Cosmopolitanism, Structural Characteristics, Tension for Change, Goals and Feedback, Learning Climate, Leadership Engagement, Individual Stage of Change, Individual Identification with the Organization
NS nonsignificant
*Indicates mixed rating; – indicates < than three respondents at that facility had statements coded to that construct; Italicized constructs represent those discussed in the results section

ISSN: 1940-0640