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Table 3 CFIR construct rating assignment criteriaa

From: Evaluation of a school-based participatory intervention to improve school environments using the Consolidated Framework for Implementation Research

Rating Criteria
−2 • The construct (or its absence) is a negative influence in the school generally, an impeding influence on work processes, and/or an impeding influence on implementation efforts.
• Two or more interviewees described explicit examples of how aspects of the construct manifested negatively.
−1 • The construct (or its absence) is a negative influence in the school generally, an impeding influence on work processes, and/or an impeding influence on implementation efforts.
• Interviewees made general statements of how the construct manifested negatively without concrete examples; and/or
• There is a mixed effect of different aspects of the construct with an overall negative effect; and/or
• Sufficient information exists to indirectly infer a generally negative influence.
0 The construct has a neutral effect in the school, on work processes, and/or on implementation efforts if:
• Interviewees provided purely descriptive or generic data without evidence of positive or negative influence; and/or
• Interviewees contradicted one another; and/or
• Positive and negative influences at different levels in the school balance each other out. We defined this last category as 0 (mixed).
+ 1 • The construct is a positive influence in the school generally, a facilitating influence on work processes, and/or a facilitating influence on implementation efforts.
• Interviewees made general statements of how the construct manifested positively without concrete examples; and/or
• There is a mixed effect of different aspects of the construct with an overall positive effect; and/or
• Sufficient information exists to indirectly infer a generally positive influence.
+ 2 • The construct is a positive influence in the school generally, a facilitating influence on work processes, and/or a facilitating influence on implementation efforts.
• Two or more interviewees described explicit examples of how aspects of the construct manifested positively.
Missing • Interviewees were not asked about, or did not address, the construct in sufficient detail to discern a pattern.
  1. aAdapted from Damschroder and Lowery 2013