Framework | Description and focus | Features |
---|---|---|
Context and Implementation of Complex Interventions (CICI) Pfadenhauer et al. 2016 [13] | Facilitates conceptualisation and assessment of context in implementation of complex interventions. Focuses on understanding and/or explaining what influences implementation outcomes. | Three integrated dimensions—context, implementation and setting—which interact with one another and with the intervention dimension. Context comprises seven domains: geographical, epidemiological, socio-cultural, socio-economic, ethical, legal, and political. |
The Model for Understanding Success in Quality (MUSIQ) Kaplan et al. 2012 [29] | Attempts to embed context in QI efforts. Targeted at microsystem and organisational efforts. | Identifies 25 key contextual factors at different levels of the healthcare system that are likely to influence the success of quality improvement efforts. Five domains: microsystem, QI team, QI support and capacity, organisation, and external environment. |
Consolidated Framework for Implementation Research (CFIR) Damschroder et al. 2009 [6] | Implementation framework comprising of constructs from 19 published implementation theories. For studying and planning implementation of health services research findings into practice. Provides a basis for studying context influences. | Integrates implementation, setting and context. Five domains: intervention, outer setting, inner setting, individuals, and process. Outer setting, inner setting and the characteristics of individuals are considered aspects of context. |
Context Assessment Index (CAI) McCormack et al. 2009 [28] | Validated instrument for QI context assessment in implementing evidence-based practice. Allows clinicians to assess and understand the context in which they work and the effect this has on using evidence in practice. | 37-item instrument. Assesses three elements of context: culture, leadership and evaluation. |
Promoting Action on Research Implementation in Health Services (PARiHS) Kitson et al. 2008 [27] | Implementation framework targeted at implementation of evidence and innovations. Used to explain and/or predict success of evidence into practice implementation. | Presents successful research implementation as a function of the interactions between three key domains: evidence, context and facilitation. |