ArticleImplementation science : IS2018
Developing measures to assess constructs from the Inner Setting domain of the Consolidated Framework for Implementation Research.
Article in Implementation science : IS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03938103 (A Hybrid Effectiveness-implementation Trial of Go NAPSACC), which is not on this map. Cited by 145 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Hybrid Effectiveness-implementation Trial of Go NAPSACC: A Childcare-based Obesity Prevention Program
Who cites it
145 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Models, frameworks and theories in the implementation of programs targeted to reduce formal coercion in mental health settings: a systematic review.Frontiers in psychiatry · 2023Pooled it
- Defining and assessing context in healthcare implementation studies: a systematic review.BMC health services research · 2020Pooled it
- Factors Associated With Symptom Burden Among Pediatric Patients With Cancer.JCO oncology practice · 2026Trial
- Cross-Sectional associations between inner setting determinants of self-efficacy and intent to deliver a healthy eating and activity curriculum embedded in a community setting.The international journal of behavioral nutrition and physical activity · 2025Trial
- Implementation of COVID-19 infection control best practices in nursing homes amid the pandemic.BMC health services research · 2024Trial
- Implementing weight maintenance with existing staff and electronic health record tools in a primary care setting: Baseline results from the MAINTAIN PRIME trial.Contemporary clinical trials · 2024Trial
- Findings from an Organizational Context Survey to Inform the Implementation of a Collaborative Care Study for Co-occurring Disorders.The journal of behavioral health services & research · 2024Trial
- Symptom management care pathway adaptation process and specific adaptation decisions.BMC cancer · 2023Trial
- Implementation of Coach McLungsBMC medical informatics and decision making · 2022Trial
- Trial
- Barriers to symptom management care pathway implementation in pediatric Cancer.BMC health services research · 2021Trial
- Medical-Legal Partnerships as Structural Interventions: Integrating Implementation Science and Community-Engaged Research to Advance HIV Care.Journal of the International AIDS Society · 2026Article
- Developing meditation practice in individuals with elevated psychological distress via a meditation app intervention: An implementation science-informed qualitative investigation of barriers and facilitators.Psychological services · 2026Article
- Logistic challenges in implementing a multispecialty robotic surgery program at university hospitals.Clinics (Sao Paulo, Brazil) · 2026Article
- Content Validity of the CHANT's French-Language Translation and Cultural Adaptation: A Modified E-Delphi Study.Nursing reports (Pavia, Italy) · 2026Article
- Hospital-Level Variation in Antenatal Corticosteroids for Late Preterm Births.medRxiv : the preprint server for health sciences · 2026Article
- The role of preparation in implementation for rural healthcare innovation: a multi method evaluation of a virtual medical officer model of inpatient care in Australia.Implementation science communications · 2026Article
- Implementing multidomain non-pharmaceutical interventions for preventing cognitive decline in community-dwelling older adults in China: An embedded mixed-methods implementation study of determinants and strategies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- Assessing stakeholder readiness for implementation of a diabetes prevention programme for patients with recent gestational diabetes: a short report.BMJ open quality · 2026Article
- Multilevel Action Toward Colorectal Cancer and Hepatitis C Education and Screening (MATCHES): Study protocol for a hybrid 1 stepped-wedge multibehavioral randomized trial.Contemporary clinical trials · 2026Article
85 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundScientists and practitioners alike need reliable, valid measures of contextual factors that influence implementation. Yet, few existing measures demonstrate reliability or validity. To meet this need, we developed and assessed the psychometric properties of measures of several constructs within the Inner Setting domain of the Consolidated Framework for Implementation Research (CFIR).
methodsWe searched the literature for existing measures for the 7 Inner Setting domain constructs (Culture Overall, Culture Stress, Culture Effort, Implementation Climate, Learning Climate, Leadership Engagement, and Available Resources). We adapted items for the healthcare context, pilot-tested the adapted measures in 4 Federally Qualified Health Centers (FQHCs), and implemented the revised measures in 78 FQHCs in the 7 states (N = 327 respondents) with a focus on colorectal cancer (CRC) screening practices. To psychometrically assess our measures, we conducted confirmatory factor analysis models (CFA; structural validity), assessed inter-item consistency (reliability), computed scale correlations (discriminant validity), and calculated inter-rater reliability and agreement (organization-level construct reliability and validity).
resultsCFAs for most constructs exhibited good model fit (CFI > 0.90, TLI > 0.90, SRMR < 0.08, RMSEA < 0.08), with almost all factor loadings exceeding 0.40. Scale reliabilities ranged from good (0.7 ≤ α < 0.9) to excellent (α ≥ 0.9). Scale correlations fell below 0.90, indicating discriminant validity. Inter-rater reliability and agreement were sufficiently high to justify measuring constructs at the clinic-level.
conclusionsOur findings provide psychometric evidence in support of the CFIR Inner Setting measures. Our findings also suggest the Inner Setting measures from individuals can be aggregated to represent the clinic-level. Measurement of the Inner Setting constructs can be useful in better understanding and predicting implementation in FQHCs and can be used to identify targets of strategies to accelerate and enhance implementation efforts in FQHCs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.