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Table 5 Selected examples of barriers and facilitators identified using the CFIR mapped to the BCW

From: Bridging the knowledge-practice gap in tuberculosis contact management in a high-burden setting: a mixed-methods protocol for a multicenter health system strengthening study

Consolidated Framework for implementation Research (CFIR)

Behaviour Change Wheel (BCW) components

Domain of CFIR (domains 1 to 4)

Barriers and facilitators identified using CFIR

 

Education

Persuasion

Incentives

Coercion

Training

Restriction

Environmental structuring

Modeling

Enablement

(1) Individuals

Knowledge about TB contact investigation and preventive therapy

Influencing capability

X

X

  

X

    

(3) Inner setting

Perceived risk of TB transmission during house visit

Influencing capability and motivation

X

X

  

X

 

X

  

(2) Outer setting

Language barriers

Influencing opportunity

      

X

 

X

(3) Inner setting

Availability of isoniazid for children

Influencing opportunity

 

X

    

X

 

X

(2) Outer setting

Distance to patient’s house

Influencing motivation

X

X

X

   

X

 

X

(1) Intervention

Duration of treatment

Influencing motivation

X

X

X

      

(4) Implementation process

Delay in identifying child contacts

Influencing capability and motivation

X

   

X

 

X

X

X