Interpretation of the updated consolidated framework for implementation research (CFIR 2022)_Chinese Journal of Evidence-Based Medicine

Authors：

LIU Ying , MA Zhuo ,  AN Zhuoling

Department of Pharmacy, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, P. R. China;

Corresponding author：

AN Zhuoling, Email: anzhuoling@163.com

Keywords：

Implementation science; Theoretical framework; Consolidated framework for implementation research

DOI：

10.7507/1672-2531.202303071

Video：

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The consolidated framework for implementation research (CFIR) is one of the most commonly used theoretical frameworks for implementation science. The updated CFIR was optimized based on the original version. The background, process and contents of the updated CFIR were introduced, and the domains and constructs of the updated CFIR were interpreted in this article. We analyzed the similarities and differences of the updated CFIR compared with the original CFIR, in order to provide methodological references for Chinese researchers to explore the determinants of implementation.

Citation： LIU Ying, MA Zhuo, AN Zhuoling. Interpretation of the updated consolidated framework for implementation research (CFIR 2022). Chinese Journal of Evidence-Based Medicine, 2023, 23(6): 738-744. doi: 10.7507/1672-2531.202303071 Copy

1.	Eccles MP. Editor in chief changes for implementation science. Implement Sci, 2012, 7: 81.
2.	陈耀龙, 史乾灵, 赵俊强, 等. 从知到行: 跨越指南理论与实践的鸿沟. 协和医学杂志, 2020, 11(6): 746-753.
3.	Damschroder LJ, Aron DC, Keith RE, et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci, 2009, 4: 50.
4.	Deftereos I, Hitch D, Butzkueven S, et al. Implementing a standardised perioperative nutrition care pathway in upper gastrointestinal cancer surgery: a mixed-methods analysis of implementation using the consolidated framework for implementation research. BMC Health Serv Res, 2022, 22(1): 256.
5.	Birken SA, Powell BJ, Shea CM, et al. Criteria for selecting implementation science theories and frameworks: results from an international survey. Implement Sci, 2017, 12(1): 124.
6.	张秋雯, 庞冬, 胡嘉乐, 等. 实施性研究综合框架(CFIR)的构成要素解读. 中国循证医学杂志, 2021, 21(3): 355-360.
7.	Kirk MA, Kelley C, Yankey N, et al. A systematic review of the use of the consolidated framework for implementation research. Implement Sci, 2016, 11: 72.
8.	Damschroder LJ, Reardon CM, Widerquist MAO, et al. The updated consolidated framework for implementation research based on user feedback. Implement Sci, 2022, 17(1): 75.
9.	Heine M, Hanekom S. Chronic disease in low-resource settings: prevention and management throughout the continuum of care-a call for papers. Int J Environ Res Public Health, 2023, 20(4): 3580.
10.	Coumoundouros C, Mårtensson E, Ferraris G, et al. Implementation of e-mental health interventions for informal caregivers of adults with chronic diseases: mixed methods systematic review with a qualitative comparative analysis and thematic synthesis. JMIR Ment Health, 2022, 9(11): e41891.
11.	Fu E, Carroll AJ, Rosenthal LJ, et al. Implementation barriers and experiences of eligible patients who failed to enroll in collaborative care for depression and anxiety. J Gen Intern Med, 2023, 38(2): 366-374.
12.	Le Dref G, Simon M, Bocquier A, et al. Selective reporting of antibiotic susceptibility testing results for urine cultures: feasibility and acceptability by general practitioners and laboratory professionals in France. JAC Antimicrob Resist, 2023, 5(1): dlad013.
13.	Suttels V, Van Singer M, Clack LC, et al. Factors influencing the implementation of antimicrobial stewardship in primary care: a narrative review. Antibiotics (Basel), 2022, 12(1): 30.
14.	Breton M, Lamoureux-Lamarche C, Deslauriers V, et al. Evaluation of the implementation of single points of access for unattached patients in primary care and their effects: a study protocol. BMJ Open, 2023, 13(3): e070956.
15.	Albers B, Auer R, Caci L, et al. Implementing organized colorectal cancer screening programs in Europe-protocol for a systematic review of determinants and strategies. Syst Rev, 2023, 12(1): 26.
16.	Flottorp SA, Oxman AD, Krause J, et al. A checklist for identifying determinants of practice: a systematic review and synthesis of frameworks and taxonomies of factors that prevent or enable improvements in healthcare professional practice. Implement Sci, 2013, 8: 35.
17.	Damschroder LJ, Reardon CM, Opra Widerquist MA, et al. Conceptualizing outcomes for use with the consolidated framework for implementation research (CFIR): the CFIR outcomes addendum. Implement Sci, 2022, 17(1): 7.
18.	Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci, 2011, 6: 42.
19.	Powell BJ, Waltz TJ, Chinman MJ, et al. A refined compilation of implementation strategies: results from the expert recommendations for implementing change (ERIC) project. Implement Sci, 2015, 10: 21.
20.	张秋雯, 庞冬, 胡嘉乐, 等. 实施性研究综合框架的发展及其应用. 中国护理管理, 2021, 21(2): 257-260.

1. Eccles MP. Editor in chief changes for implementation science. Implement Sci, 2012, 7: 81.
2. 陈耀龙, 史乾灵, 赵俊强, 等. 从知到行: 跨越指南理论与实践的鸿沟. 协和医学杂志, 2020, 11(6): 746-753.
3. Damschroder LJ, Aron DC, Keith RE, et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci, 2009, 4: 50.
4. Deftereos I, Hitch D, Butzkueven S, et al. Implementing a standardised perioperative nutrition care pathway in upper gastrointestinal cancer surgery: a mixed-methods analysis of implementation using the consolidated framework for implementation research. BMC Health Serv Res, 2022, 22(1): 256.
5. Birken SA, Powell BJ, Shea CM, et al. Criteria for selecting implementation science theories and frameworks: results from an international survey. Implement Sci, 2017, 12(1): 124.
6. 张秋雯, 庞冬, 胡嘉乐, 等. 实施性研究综合框架(CFIR)的构成要素解读. 中国循证医学杂志, 2021, 21(3): 355-360.
7. Kirk MA, Kelley C, Yankey N, et al. A systematic review of the use of the consolidated framework for implementation research. Implement Sci, 2016, 11: 72.
8. Damschroder LJ, Reardon CM, Widerquist MAO, et al. The updated consolidated framework for implementation research based on user feedback. Implement Sci, 2022, 17(1): 75.
9. Heine M, Hanekom S. Chronic disease in low-resource settings: prevention and management throughout the continuum of care-a call for papers. Int J Environ Res Public Health, 2023, 20(4): 3580.
10. Coumoundouros C, Mårtensson E, Ferraris G, et al. Implementation of e-mental health interventions for informal caregivers of adults with chronic diseases: mixed methods systematic review with a qualitative comparative analysis and thematic synthesis. JMIR Ment Health, 2022, 9(11): e41891.
11. Fu E, Carroll AJ, Rosenthal LJ, et al. Implementation barriers and experiences of eligible patients who failed to enroll in collaborative care for depression and anxiety. J Gen Intern Med, 2023, 38(2): 366-374.
12. Le Dref G, Simon M, Bocquier A, et al. Selective reporting of antibiotic susceptibility testing results for urine cultures: feasibility and acceptability by general practitioners and laboratory professionals in France. JAC Antimicrob Resist, 2023, 5(1): dlad013.
13. Suttels V, Van Singer M, Clack LC, et al. Factors influencing the implementation of antimicrobial stewardship in primary care: a narrative review. Antibiotics (Basel), 2022, 12(1): 30.
14. Breton M, Lamoureux-Lamarche C, Deslauriers V, et al. Evaluation of the implementation of single points of access for unattached patients in primary care and their effects: a study protocol. BMJ Open, 2023, 13(3): e070956.
15. Albers B, Auer R, Caci L, et al. Implementing organized colorectal cancer screening programs in Europe-protocol for a systematic review of determinants and strategies. Syst Rev, 2023, 12(1): 26.
16. Flottorp SA, Oxman AD, Krause J, et al. A checklist for identifying determinants of practice: a systematic review and synthesis of frameworks and taxonomies of factors that prevent or enable improvements in healthcare professional practice. Implement Sci, 2013, 8: 35.
17. Damschroder LJ, Reardon CM, Opra Widerquist MA, et al. Conceptualizing outcomes for use with the consolidated framework for implementation research (CFIR): the CFIR outcomes addendum. Implement Sci, 2022, 17(1): 7.
18. Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci, 2011, 6: 42.
19. Powell BJ, Waltz TJ, Chinman MJ, et al. A refined compilation of implementation strategies: results from the expert recommendations for implementing change (ERIC) project. Implement Sci, 2015, 10: 21.
20. 张秋雯, 庞冬, 胡嘉乐, 等. 实施性研究综合框架的发展及其应用. 中国护理管理, 2021, 21(2): 257-260.

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