Evaluation of a large-scale weight management program using the consolidated framework for implementation research (CFIR)

Table 3 Ratings assigned to CFIR construct by case

	Low implementation facilities		Transition facility	High implementation facilities
Site ID
I. INTERVENTION CHARACTERISTICS	200	500	100	300	400
Intervention Source^a	E	E	E	E	I
Evidence Strength and Quality	-2	+1	+1	+2	+1
Relative Advantage	-2	+1	+1	+2	+2	**
Adaptability	-2	+2	+2	+2	+2
Trialability	0	0	+1	+1	0
Complexity (reverse rated)	Missing	-2	-2	-2	+2
Design Quality and Packaging	-2	+2	+1	+1	+1
Cost	0	0	0	0	0
II. OUTER SETTING
Patient Needs and Resources	-2	0 (mixed)	+1	+2	+2	**
Cosmopolitanism	0	0	+1	0	0
Peer Pressure	0	0	0	0	0
External Policy and Incentives	-1	-2	N/A	0	+1	*
III. INNER SETTING
Structural Characteristics	Missing	Missing	Missing	Missing	Missing
Networks and Communications	-2	-2	+1	+2	+2	**
Culture	Missing	Missing	Missing	Missing	Missing
Implementation Climate
Tension for change	0	0	+2	+1	+1	**
Compatibility	-2	+1	0	+1	+2
Relative priority	-1	-2	-2	+1	+2	**
Organizational Incentives and Rewards	+0	-1	0	0	+1
Goals and Feedback	-2	-1	+1	+1	+2	**
Learning climate	Missing	-1	Missing	+1	+2	**
Readiness for Implementation
Leadership Engagement	-2	-1	+2	+2	+2	**
Available resources	-2	-2	-1	+1	-1	*
Access to knowledge and information	-1	Missing	Missing	+1	-1
V. PROCESS
Planning	-1	Missing	+1	+1	+1	**
Engaging
Opinion Leaders	Missing	Missing	Missing	Missing	Missing
Formally Appointed Internal Implementation Leaders	-1	+2	+2	+2	+2
Overall Championing	-1	+2	+2	+1	+2
Physician Champion	-2	+2	0	+1	+2
Other Champions			+2	+2
External Change Agents	0	0	0	0	0
Executing	N/A	N/A	N/A	N/A	N/A
Reflecting and Evaluating	-1	-2	+1	+1	+2	**

** Construct strongly distinguishes between low and high implementation effectiveness.
* Construct weakly distinguishes between low and high implementation effectiveness.
^a I: Treated MOVE! as internally developed E: Treated MOVE! as externally developed.

ISSN: 1748-5908