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Table 2 Analysis of the interviews: Consolidated Framework for Implementation Research (CFIR) domains, constructs and description of the constructs

From: Barriers and facilitators to promoting evidence uptake in Chinese medicine: a qualitative study in Hong Kong

CFIR domains and domain descriptions

CFIR constructs

Descriptions of constructs

I) Characteristics of individuals:

It refers to the characteristics of CMPs in Hong Kong who participated in this study.

Knowledge and beliefs about the intervention [F/B]a

CMPs’ attitudes toward, and values placed on the use of results from synopses in routine practice.

II) Intervention characteristics:

It refers to the characteristics of critically appraised evidence-based synopses on CM interventions which were presented to Hong Kong CMPs.

Relative advantage [F/B]a

CMPs’ perception of the advantage of using results from synopses, relative to their routine practice.

Complexity [B]a

CMPs’ perceived difficulty of using results from synopses in routine practice.

Design quality and packaging [F/B]a

CMPs’ perceived excellence in how synopses are bundled, presented, and assembled.

III) Inner setting:

It refers to the political and cultural contexts with the local CM industry, including both private and non-private sectors.

Readiness for implementation

- Available resources [B]a

The level of resources dedicated for using results from synopses in CMPs’ routine practice and its on-going operations. These include training, education and time.

Readiness for implementation

- Access to knowledge and information [F]a

CMPs’ ease of access to digestible information and knowledge about the use of results from synopses in routine practice.

Networks and communication [F]a

The nature and quality of webs of social networks and the nature and quality of formal and informal communications within the local CM industry on the use of results from synopses in routine practice.

IV) Outer setting:

It includes economic, political and social context within the Hong Kong health system.

External policy and incentives [F]a

External strategies and incentives for spreading synopses within the Hong Kong health system.

Patient needs and resources [F]a

The extent to which patient needs influence CMPs’ use of results from synopses in routine practice, as well as resources devoted to meet those needs.

  1. Key: Consolidated Framework for Implementation Research, CFIR; CM, Chinese medicine; CMPs, Chinese medicine practitioners
  2. aThe four domains of CFIR presented in this study include intervention characteristics, outer setting, inner setting and characteristics of individuals involved. The constructs of implementation determinants act as barriers [B] or/ and facilitators [F]. [B] are factors that are perceived to inhibit the use of results from synopses in routine practice based on the CMPs’ statements, while [F] are factors that are likely to promote the use of results from synopses in CMPs’ routine practice. Determinants which act as both facilitators and barriers are labelled as [F/B]