Cosmopolitanism

−2

6

4

Network and communications

−2

6

4

Culture

−4

8

4

Relative advantage

−5

8

3

Engaging

−2

5

3

Access to knowledge and information

−6

9

3

Opinion leaders

−2

5

3

Formally appointed internal implementation leader

−2

5

3

Champions

−2

5

3

External change agents

−2

5

3

Trialability

−1

4

3

Relative priority

−6

8

2

Knowledge and beliefs about intervention

−7

9

2

Individual identification with organization

−5

7

2

Executing

−2

4

2

Learning climate

−6

8

2

Design quality

−5

6

1

Adaptability

−6

7

1

Implementation climate

−9

9

0

Tension for change

−5

5

0

Complexity

−7

7

0

Other personal attributes

−5

5

0

Readiness for implementation

−9

9

0

Leadership engagement

−4

4

0

Intervention source

0

0

0

Evidence strength

−1

1

0

Reflecting and evaluating

−5

5

0

Structural characteristics

−4

4

0

Organizational incentives and rewards

−1

1

0

Goals and feedback

−5

5

0

Cost

−6

5

−1

Self-efficacy

−5

4

−1

Peer pressure

−4

3

−1

Individual state of change

−5

4

−1

Planning

−9

7

−2

External policy and incentives

−2

0

−2

Patient needs and resources

−8

4

−4

Available resources

−8

3

−5

Compatibility

−

1

−5

Note(s): *The barriers were presented with a minus sign, and the facilitators with a plus sign. The column ‘difference’ provides the sum of the barrier (-) and the facilitator (+). When the number in the column ‘difference’ is positive, the factor is more prevalent as a facilitator, and when the number is negative, the factor is more prevalent as a barrier