Table II Description of the CFIR rating... | Emerald Publishing

Table II

Description of the CFIR rating rules

Rating	Description (valence and strength)
−2	Construct has a negative influence, i.e.: impeding influence in the organization, in work processes, and/or in implementation efforts The majority of interviewees (at least two) describe explicit/concrete examples of how key or all aspects (or their absence) of a construct manifest in a negative way
−1	Construct has a negative influence on implementation efforts No explicit examples provided; is mentioned only in passing
0	Construct appears to have a neutral effect Is only mentioned generically (purely descriptive) No evidence of positive or negative influence Contradiction among interviewees Presence of positive and negative influences at different levels in the organization that balance each other out; and/or different aspects of the construct have positive influence while others have negative influence which make the overall effect neutral
+1	Construct has a positive influence, i.e.: facilitates implementation efforts Is mentioned only in passing (no explicit examples)
+2	Construct has a positive influence, i.e.: facilitating influence in work processes, and/or a facilitating influence in implementation efforts The majority of interviewees (at least two) describe explicit/concrete examples of how key or all aspects of a construct manifest in a positive way

Rating	Description (valence and strength)
−2	Construct has a negative influence, i.e.: impeding influence in the organization, in work processes, and/or in implementation effortsThe majority of interviewees (at least two) describe explicit/concrete examples of how key or all aspects (or their absence) of a construct manifest in a negative way
−1	Construct has a negative influence on implementation effortsNo explicit examples provided; is mentioned only in passing
0	Construct appears to have a neutral effectIs only mentioned generically (purely descriptive)No evidence of positive or negative influenceContradiction among intervieweesPresence of positive and negative influences at different levels in the organization that balance each other out; and/or different aspects of the construct have positive influence while others have negative influence which make the overall effect neutral
+1	Construct has a positive influence, i.e.: facilitates implementation effortsIs mentioned only in passing (no explicit examples)
+2	Construct has a positive influence, i.e.: facilitating influence in work processes, and/or a facilitating influence in implementation effortsThe majority of interviewees (at least two) describe explicit/concrete examples of how key or all aspects of a construct manifest in a positive way

Note: Adapted from Damschroder and Lowery (2013)