Evidence map›Paper›PMID 40819067›Full record

ArticleImplementation science : IS2025

The Consolidated Framework for Implementation Research (CFIR) User Guide: a five-step guide for conducting implementation research using the framework.

Caitlin M Reardon, Laura J Damschroder, Laura Ellen Ashcraft, Claire Kerins, Rachel L Bachrach, Andrea L Nevedal, Ariel M Domlyn, Jessica Dodge, Matthew Chinman, Shari Rogal

Registry-linked trialAbstract read
In one paragraph

Article in Implementation science : IS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07620730 (PrEP-LANA), which is not on this map. Cited by 120 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT07620730 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

PrEP-LANA (Pre-exposure Prophylaxis- Long-acting Novel Antiviral Agent)

TypeobservationalSponsorQueen Mary University of LondonRan2026 to 2028Enrolled220ConditionsPrEP, PrEP Adherence Experiences, PrEP Adherence Perspectives, PrEP Uptake
3 · Its place in the literature

Who cites it

120 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  12. NIH Investment in HIV and Implementation Science.Journal of the International AIDS Society · 2026
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60 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Caitlin M ReardonVA Center for Healthcare Evaluation, Research, and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA. Caitlin.Reardon@va.gov.ORCID 0000-0002-9547-7981
Laura J DamschroderVA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Laura Ellen AshcraftVA Center for Healthcare Evaluation, Research, and Promotion, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Claire KerinsCentre for Health Research Methodology, School of Nursing & Midwifery, University of Galway, Galway, Ireland.
Rachel L BachrachVA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Andrea L NevedalVA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Ariel M DomlynVA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Jessica DodgeVA Center for Healthcare Evaluation, Research, and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Matthew Chinman *VA Center for Healthcare Evaluation, Research, and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Shari Rogal *VA Center for Healthcare Evaluation, Research, and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.

Funding

HSRD VA IK2 HX003087HSRD VA IK6 HX003767Quality Enhancement Research Initiative 1I50HX003905-01A1VA Center for Clinical Management Research CIN 13-405VA Center for Healthcare Evaluation, Research, and Promotion CIN 13-408
6 · The paper itself

Abstract

backgroundThe Consolidated Framework for Implementation Research (CFIR) is a determinant framework that includes constructs from many implementation theories, models, and frameworks; it is used to predict or explain barriers and facilitators to implementation success. CFIR is among the most widely applied implementation science frameworks, and after 15 years of use in the field, the framework was updated based on user feedback obtained via literature review and survey. Dissemination of the updated CFIR and accompanying outcomes addendum resulted in hundreds of requests from users for further guidance in applying the framework. In addition, observations of potential and actual misuse of CFIR in grant reviews and published manuscripts were the catalyst for the development of this user guide. As a result, the objective of this article is to provide a user guide and essential tools and templates for using CFIR in implementation research.

methodsThis user guide was generated from the combined wisdom and experience of the CFIR Leadership Team, which includes the lead developers of the original and updated CFIR (LJD, CMR), and has collectively used CFIR in more than 50 projects. The five steps as well as the tools and templates were finalized via consensus discussions.

resultsThe five steps below guide users through an entire research project using CFIR and include 1) Study Design; 2) Data Collection; 3) Data Analysis; 4) Data Interpretation; and 5) Knowledge Dissemination. In addition, the article provides a Frequently Asked Questions (FAQs) section based on user queries and six tools and templates: 1) CFIR Construct Example Questions; 2) CFIR Construct Coding Guidelines; 3) Inner Setting Memo Template; 4) CFIR Construct Rating Guidelines; 5) CFIR Construct x Inner Setting Matrix Template; and 6) CFIR Implementation Research Worksheet.

conclusionThis user guide details how to use CFIR in implementation research, from the design of the study through dissemination of findings, answers frequently asked questions, and offers essential tools and templates. We hope this guidance will facilitate appropriate and consistent application of the framework as well as generate feedback and critique to advance the field.

Indexed as

Guidelines as TopicImplementation ScienceHumansResearch DesignBarriersData analysisData collectionFacilitatorsImplementation determinantsImplementation outcomesImplementation scienceUser guide

Identifiers

PMID40819067
PMCPMC12357348

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.