Facilitators and Barriers to the Implementation of the HPV VACs (Vaccinate Adolescents Against Cancers) Program: A Consolidated Framework for Implementation Research Analysis
IMPLEMENTATION EVALUATION — Volume 16 — July 3, 2019
PEER REVIEWED
Figure.
Major themes of barriers and facilitators to implementing the HPV VACs (Vaccinate Adolescents Against Cancers) Program across domains of the Consolidated Framework for Implementation Research (CFIR), May–August 2016. This figure does not show all possible constructs, because the federally qualified health centers participating in the study did not report barriers or facilitators for every construct.
| CFIR Constructs | Barrier | Facilitator |
|---|---|---|
| Intervention characteristics | ||
| Design quality | 3 | 0 |
| Cost | 5 | 0 |
| Outer setting | ||
| Patient needs and resources: family buy-in | 0 | 2 |
| Patient needs and resources: patient misinformation/vaccine stigma | 8 | 0 |
| Patient needs and resources: cultural/language barriers | 5 | 0 |
| Patient needs and resources: low health literacy | 4 | 0 |
| External policies and incentives | 9 | 0 |
| Cosmopolitanism and peer pressure | 0 | 2 |
| Inner setting | ||
| Networks and communications | 3 | 6 |
| Implementation climate: compatibility | 0 | 3 |
| Implementation climate: relative priority | 7 | 0 |
| Readiness for implementation: leadership engagement | 0 | 4 |
| Readiness for implementation: available resources | 9 | 5 |
| Process | ||
| Planning | 3 | 6 |
| Engaging | 5 | 5 |
| Champions/opinion leaders | 0 | 5 |
| External change agents | 0 | 2 |
| Executing | 8 | 7 |
| Reflecting and evaluating | 0 | 3 |
| Individual characteristics | ||
| Knowledge and beliefs about the intervention | 0 | 2 |
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