Facilitating factors | Barriers | |||
---|---|---|---|---|
Interventions | Policies | Interventions | Policies | |
Adoption | ||||
Training for implementation | ✓ | ✓ | – | – |
Staff expertise for implementationb | ✓ | – | – | – |
Adoption in physical environmentc | – | ✓ | ✓ | ✓ |
Governmental and legal involvementc | – | ✓ | – | ✓ |
Community use | – | – | – | ✓ |
Collaboration and communication | ✓ | ✓ | ✓ | – |
Implementation | ||||
Theory useb | – | – | – | – |
Delivery characteristics: dose and fidelity | ✓ | ✓ | – | – |
Adjustments and customizations | ✓ | - | ✓ | – |
Simplicity | – | ✓ | – | – |
Accessibility | – | – | ✓ | – |
Time issues | – | – | ✓ | – |
Cultural context | – | – | ✓ | – |
Costs and funding/resources needed for delivery | – | ✓ | ✓ | ✓ |
Characteristics of the setting affecting delivery/implementationb | ✓ | – | ✓ | – |
Implementers’ characteristics affecting implementationb | – | – | – | – |
Implementations process evaluation | ✓ | – | – | ✓ |
Other factors | – | – | – | ✓ |
Maintenance | ||||
Dissemination | ✓ | – | – | – |
Staff and stakeholders: Training for transferb | – | – | – | – |
Differences in healthcare systems across countriesb | – | – | – | – |
Long-term funding and political supportc | – | ✓ | – | – |