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Table 1 List and characteristics of implementation strategies generated for sorting and rating

From: Integrating implementation and user-centred design strategies to enhance the impact of health services: protocol from a concept mapping study

Implementation strategy

ERIC resultsa

Primary CFIR domain(s)b

Importance

Cluster

OS

IS

ID

IN

Access new funding

3.57

F

X

   

Alter incentive/allowance structures

3.17

F

X

X

  

Alter patient/consumer fees

2.60

F

X

X

  

Assess for readiness and identify barriers and facilitators

4.60

E

X

X

X

 

Audit and provide feedback

4.40

E

  

X

 

Build a coalition

3.77

S

X

X

  

Centralise technical assistance

2.73

I

X

   

Change accreditation or membership requirements

2.17

CI

X

   

Change record systems

2.83

CI

 

X

  

Conduct local consensus discussions

3.63

S

 

X

  

Conduct ongoing training

4.17

T

  

X

 

Create or change credentialing and/or licensure standards

2.23

CI

X

   

Develop and implement tools for quality monitoring

4.37

E

   

X

Develop and organise quality monitoring systems

4.33

E

 

X

  

Develop educational materials

3.80

T

   

X

Develop resource sharing agreements

3.07

CL

X

   

Facilitate relay of clinical data to providers

4.17

CL

 

X

  

Facilitation

4.13

I

 

X

X

 

Fund and contract for the clinical innovation

3.67

F

X

   

Identify and prepare champions

4.20

S

  

X

 

Increase demand

3.30

CO

X

   

Involve patients/consumers and family members

3.87

CO

  

X

 

Mandate change

3.23

CI

X

X

  

Obtain formal commitments

3.77

S

X

   

Organise clinician implementation team meetings

3.97

S

 

X

  

Place innovation on fee for service lists/formularies

3.40

F

X

   

Promote adaptability

3.90

A

   

X

Provide local technical assistance

3.97

I

 

X

  

Provide ongoing consultation

4.17

T

  

X

 

Purposefully re-examine the implementation

4.40

E

 

X

  

Recruit, designate, and train for leadership

3.93

S

 

X

  

Remind clinicians

3.23

CL

 

X

  

Tailor strategies

4.37

A

 

X

  

Use data experts

3.23

A

X

X

  

Use train-the-trainer strategies

3.33

T

X

X

  

Work with educational institutions

2.73

T

X

   
  1. ERIC Expert Recommendations for Implementing Change, CFIR Consolidated Framework for Implementation Research, OS outer setting, IS inner setting, ID individual, IN intervention, X strategy primarily targets that domain.
  2. aData taken from the ERIC study concept mapping results [8]; importance and feasibility ratings range from 1.00 (lowest) to 5.00 (highest); abbreviations for clusters are as follows: E use evaluative and iterative strategies, I provide interactive assistance, A adapt and tailor to context, S develop stakeholder interrelationships, T train and educate stakeholders, CL support clinicians, CO engage consumers, F utilise financial strategies, CI change infrastructure.
  3. bAs assigned by the first and third authors through a consensus-building discussion
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Health Research Policy and Systems

ISSN: 1478-4505

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