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Integrating a Mobile App to Enhance Atrial Fibrillation Care: Key Insights From an Implementation Study Guided by the Consolidated Framework for Implementation Research

Integrating a Mobile App to Enhance Atrial Fibrillation Care: Key Insights From an Implementation Study Guided by the Consolidated Framework for Implementation Research

In this study, we applied two implementation science frameworks, the updated Consolidated Framework for Implementation Research (CFIR), one of the most cited frameworks in implementation research [27], and the nonadoption abandonment, scale-up, spread, and sustainability—complexity assessment tool, a deterministic framework with a focus on digital health technology [18].

Sumudu Hewage, Sanjeewa Kularatna, William Parsonage, Tomos Walters, Steven McPhail, David Brain, Michelle J Allen

J Med Internet Res 2025;27:e66815

The Implementation Outcomes and Population Impact of a Statewide IT Deployment for Family Caregivers: Mixed Methods Study

The Implementation Outcomes and Population Impact of a Statewide IT Deployment for Family Caregivers: Mixed Methods Study

The Consolidated Framework for Implementation Research (CFIR) guided our evaluation [14]. Early findings indicated that leadership, communication, the harmonization of processes across sites, and motivation to serve clients using technology were critical elements of success.

Orly Tonkikh, Heather M Young, Janice F Bell, Jessica Famula, Robin Whitney, Jennifer Mongoven, Kathleen Kelly

JMIR Aging 2024;7:e63355

Mapping Implementation Strategies to Address Barriers to Pre-Exposure Prophylaxis Use Among Women Through POWER Up (Pre-Exposure Prophylaxis Optimization Among Women to Enhance Retention and Uptake): Content Analysis

Mapping Implementation Strategies to Address Barriers to Pre-Exposure Prophylaxis Use Among Women Through POWER Up (Pre-Exposure Prophylaxis Optimization Among Women to Enhance Retention and Uptake): Content Analysis

The Consolidated Framework for Implementation Research (CFIR) includes 5 interrelated domains: intervention characteristics, outer setting, inner setting, characteristics of individuals involved, and the process of implementation, with several constructs in each domain [10]. As a framework, the CFIR domains allow for documenting and understanding a nonlinear process of implementation and incorporates consideration of adaptation that is often required for different contexts.

Amy K Johnson, Samantha A Devlin, Maria Pyra, Eriika Etshokin, Kelly Ducheny, Eleanor E Friedman, Lisa R Hirschhorn, Sadia Haider, Jessica P Ridgway

JMIR Form Res 2024;8:e59800

Barriers to Implementing Registered Nurse–Driven Clinical Decision Support for Antibiotic Stewardship: Retrospective Case Study

Barriers to Implementing Registered Nurse–Driven Clinical Decision Support for Antibiotic Stewardship: Retrospective Case Study

The CFIR (Consolidated Framework for Implementation Research) [27] has been widely used to guide the systematic assessment of multilevel implementation contexts to identify contextual determinants of implementation success [28]. Using the updated CFIR as a guide [29], we sought to identify and categorize the barriers experienced during the implementation of the RN-driven antibiotic stewardship “i CPR3” intervention.

Elizabeth R Stevens, Lynn Xu, JaeEun Kwon, Sumaiya Tasneem, Natalie Henning, Dawn Feldthouse, Eun Ji Kim, Rachel Hess, Katherine L Dauber-Decker, Paul D Smith, Wendy Halm, Pranisha Gautam-Goyal, David A Feldstein, Devin M Mann

JMIR Form Res 2024;8:e54996

Health Care Professionals’ Perspectives Before and After Use of eDialogue for Team-Based Digital Communication Across Settings: Qualitative Study

Health Care Professionals’ Perspectives Before and After Use of eDialogue for Team-Based Digital Communication Across Settings: Qualitative Study

Conducting this study, we were inspired by the metatheoretical framework and terminology described by Damschroder et al [17]: the Consolidated Framework for Implementation Research (CFIR). The CFIR is widely used in health services research and specifically adapted to understand facilitators and barriers to implementation, even at an early preimplementation stage [17,18].

Lili Worre Høpfner Jensen, Ole Rahbek, Rikke Emilie Kildahl Lauritsen, Søren Kold, Birthe Dinesen

JMIR Hum Factors 2024;11:e53391

Implementing Active Assisted Living Technology in the Long-term Care of People Living With Dementia to Address Loneliness: European Survey

Implementing Active Assisted Living Technology in the Long-term Care of People Living With Dementia to Address Loneliness: European Survey

Participants were asked fifteen 5-point Likert-scale questions and open-ended questions based on Damschroder “Consolidated Framework for Implementation Research” (CFIR) [21]. The web-based survey tool (Lime Survey) was used. The participants included stakeholders who were experts from European national and regional Alzheimer associations and thus were knowledgeable about the use of AAL technology in their respective country or region.

Kübra Beliz Budak, Franziska Laporte Uribe, Franka Meiland, Simone Anna Felding, Sonja Teupen, Johannes Michael Bergmann, Rene Mueller-Widmer, Martina Roes

JMIR Aging 2023;6:e45231

Traumatic Brain Injury Intensive Evaluation and Treatment Program: Protocol for a Partnered Evaluation Initiative Mixed Methods Study

Traumatic Brain Injury Intensive Evaluation and Treatment Program: Protocol for a Partnered Evaluation Initiative Mixed Methods Study

In alignment with the QUERI Implementation Roadmap, this project will coconstruct a meaningful theoretical context for identifying and describing the implementation of each IETP using the Consolidated Framework for Implementation Research (CFIR) [28,29].

Jolie N Haun, Risa Nakase-Richardson, Christine Melillo, Jacob Kean, Rachel C Benzinger, Tali Schneider, Mary Jo V Pugh

JMIR Res Protoc 2023;12:e44776

Evaluating Barriers and Facilitators to the Uptake of mHealth Apps in Cancer Care Using the Consolidated Framework for Implementation Research: Scoping Literature Review

Evaluating Barriers and Facilitators to the Uptake of mHealth Apps in Cancer Care Using the Consolidated Framework for Implementation Research: Scoping Literature Review

Therefore, this study aimed to investigate the determinants of m Health uptake using a theory-guided framework from implementation science, the Consolidated Framework for Implementation Research (CFIR). The CFIR was intended as a practical tool to map and interpret empirical evidence regarding factors (ie, barriers and facilitators) that could affect the implementation of m Health in cancer care.

Vittoria Ardito, Georgi Golubev, Oriana Ciani, Rosanna Tarricone

JMIR Cancer 2023;9:e42092

Implementation of a Statewide Web-Based Caregiver Resource Information System (CareNav): Mixed Methods Study

Implementation of a Statewide Web-Based Caregiver Resource Information System (CareNav): Mixed Methods Study

The aim of this paper was to describe the statewide implementation of the comprehensive Care Nav (TM) system using the Consolidated Framework for Implementation Research (CFIR) as an organizing structure for synthesizing the evaluation.

Heather M Young, Janice F Bell, Orly Tonkikh, Tina R Kilaberia, Robin L Whitney, Jennifer M Mongoven, Benjamin M Link, Kathleen Kelly

JMIR Form Res 2022;6(7):e38735

Using the Consolidated Framework for Implementation Research to Inform the Design of the Mobile Inspección Visual con Ácido Acético System: Mixed Methods Case Study

Using the Consolidated Framework for Implementation Research to Inform the Design of the Mobile Inspección Visual con Ácido Acético System: Mixed Methods Case Study

The CFIR is a framework of implementation factors often used to assess readiness for implementation and comprises 5 overarching domains: intervention characteristics, inner setting, outer setting, characteristics of individuals, and process [23]. CFIR constructs have been shown to map well to common implementation challenges in the use of digital technologies [13,24].

Hadley Woodruff Reid, Rae Jean Proeschold-Bell, Christina Makarushka, Katherine Dayllan Melgar Vega, Megan Huchko, Jose Jeronimo, Lavanya Vasudevan

JMIR Form Res 2022;6(6):e32577