Table A1

The association between the observation template questions and Merriam’s (1988) checklist, Proctor et al.'s (2011) implementation outcomes and the CFIR Damschroder et al., 2009 

Merriam (1988) broad checklistQuestion number

Setting

Preliminary Q

Participants

Preliminary Q

Activities

1-15

Subtle factors (e.g. non-verbal communication, unplanned events

1-15

 

Implementation Outcomes (Proctoret al., 2011)

Definition

Question Number

Acceptability

Satisfaction with the intervention (I like the intervention, it’s appealing, I approve, I welcome it)

1, 9, 10

Fidelity

Adherence, delivered as intended

2,4,5,69

Feasibility

Suitability of the intervention for everyday use (the intervention’s implementable, doable, easy to do/use)

8, 13

Adoption

Uptake, utilisation

9, 13

Appropriateness

Compatibility, relevance (the intervention’s suitable, applicable, a good fit)

4, 8, 9, 11

Cost

Cost of the intervention, the implementation strategy used and location of delivery

12

Penetration

Reach, level of institutionalisation

Preliminary Question

Sustainability

Maintenance, routinisation

 

 

CFIR Domain (Damschroderet al.., 2009)

Question Number

Intervention Characteristics- internally vs externally developed, adaptability, complexity, cost, strength of evidence

6

Outer Setting- patient’s needs, degree to which the organisation is networked to other organisations, competitive pressure to implement (competing organisation), external incentives (guidelines)

Preliminary Q

Inner Setting- age, maturity, size of the organisation, team stability, communication, culture, readiness for change

1, 7, 9, 10

Individual Characteristics- knowledge and belief about the intervention, belief in own capabilities, personal traits (motivation, values, intellectual ability, tolerance, ambiguity)

4, 10, 12

Implementation Process- planning and executing the intervention, engaging and involving the appropriate individuals, reflection and evaluation (debriefing)

2, 3, 5, 6, 8, 9, 11, 13, 14, 15

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