Skip to main content

Table 2 Potential questions to providers and managers by CFIR construct

From: Implementation and scale-up of a single-visit, screen-and-treat approach with thermal ablation for sustainable cervical cancer prevention services: a protocol for a stepped-wedge cluster randomized trial in Kenya

Intervention characteristics

 • Relative advantage

 • Adaptability

 • Complexity

 • Perceived scalability

• How does thermal ablation compare to cryotherapy in your setting?

• What kinds of changes or alterations do you think you will need to make to SV-SAT + TA so it will be effective?

• How complicated is use of thermal ablation?

• Do you think TA could be expanded for use in other sites?

Outer setting

 • Patient needs and resources

• How well do you think SVA-SAT + TA will meet the needs of women screening for cervical cancer in your facility?

• Have you heard stories about the experiences of participants with the SV-SAT + TA?

Inner setting

 • Structural

 • Characteristics

 • Networks

 • Tension for change

 • Compatibility

 • Team characteristics

 • Collective efficacy

• How will the infrastructure of your facility affect the implementation of SV-SAT + TA?

• What kinds of infrastructure changes will be needed to accommodate SV-SAT + TA?

• Are meetings such as staff meetings, held regularly? What is discussed? Is there a strong need for SV-SAT + TA? Why or why not?

• How well does SV-SAT + TA fit with existing work processes and practices in your setting? What are likely issues or complications that may arise?

• What sort of team-based care is provided in the facility?

• Is your healthcare team capable of working together to implement new interventions like SV-SAT + TA?

Characteristics of individuals

 • Self-efficacy

• How confident are you that you will be able to successfully implement SV-SAT + TA?

• What gives you that level of confidence?

Process

 • Executing

 • Champions

 • Decision-making

• Has SV-SAT + TA been implemented according to the implementation plan? [If Yes] Can you describe this? [If No] Why not?

• Are there people in the facility who are likely to champion the intervention?

• How are decisions made in this organization? Who make decisions in this organization?

Characteristics of systems

 • Systems architecture

 • External funding Agent

 • Priorities

 • Strategic policy Alignment

 • Resource continuity

• How is the health system organized and how does it interact with other systems that contribute to the health of the public and that influence how the CC programs are designed and implemented?

• What are the priorities and perspectives of external donors related to TA and CC in general in-country?

• What policies exist in country that support integration of TA?

• What existing or potential funding sources exist to continue and scale TA?