ReviewImplementation science communications2025
Key determinants in implementation processes: a systematic review using the Consolidated Framework for Implementation Research (CFIR).
Review in Implementation science communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed.
- Implementation determinants and outcomes of artificial intelligence in surgical healthcare: a systematic review protocol.BMJ open · 2026Article
- Barriers to Implementing Medical-Legal Partnerships for Survivors of Intimate Partner Violence: Qualitative Perspectives from the Veterans Health Administration.Journal of general internal medicine · 2026Article
- Development and Evaluation of a University-Based External Coaching Program for School Behavioral Health.Behavioral sciences (Basel, Switzerland) · 2026Article
- Feasibility of decentralized cervical cancer survivorship care at district hospitals in Rwanda: a multi-site pilot implementation study.The oncologist · 2026Article
- Article
- Implementing very-low-dose allergen exposure after suspected IgE-mediated reactions in infancy prior to allergist consultation.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026Article
- Evaluation of a Pilot Digital Antibiotic Tool.The clinical teacher · 2026Article
- Process and Strategies for Implementing an Antenatal Psychosocial Clinical Decision Support System Within an Inter-Organisational Care Context: The Born in Belgium Professionals Platform.Healthcare (Basel, Switzerland) · 2026Article
- Barriers and facilitators to implementing e-learning for infection management in primary care: a scoping review.BMC primary care · 2026Article
- Taking diabetes risk screening to the community: Feasibility and acceptability of the FINDRISC tool in vulnerable populations in Argentina.Journal of family medicine and primary care · 2026Article
- Determinants of sustained physician engagement in obstetric QI: a TICD-guided qualitative study.Implementation science communications · 2026Article
- Implementation strategies for evidence-based healthcare interventions in rural and remote settings: a scoping review.The Lancet regional health. Western Pacific · 2026Review
- Addressing a gap in community-engaged research: reporting results of congregations' implementation capacity assessment to research participants.Frontiers in public health · 2026Article
- How to Build Health Practitioners Research Capacity: An Umbrella Review.Health services insights · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
backgroundContextual factors, or determinants, are commonly assessed in implementation studies due to their impact on the implementation process. While a substantial number of determinants have been identified, less research has examined the strength of their impact on the implementation process. Identification of key determinants, or those found to play the biggest role in the implementation process more frequently, may assist in guiding implementation of health programs and services. Damschroder & Lowery (2013) developed a rating system to assess which Consolidated Framework for Implementation Research (CFIR) constructs have the strongest impact on implementation. The purpose of this article was to systematically review articles that have utilized this rating system in order to identify key determinants.
methodsWe conducted forward citation searching of articles citing Damschroder & Lowery's (2013) rating criteria in three databases (PubMed, Web of Science, and Google Scholar) in February 2023. Included articles examined the magnitude and valence of factors affecting the implementation process. Quality appraisal was completed using the Mixed Methods Appraisal Tool (MMAT). Articles were included regardless of design, setting, location, or target population. A comprehensive examination of the determinants through numerous graphs and tables was conducted to identify key determinants.
resultsForty-eight articles were included in the final review. Eight key determinants were identified: Leadership Engagement, Formally Appointed Internal Implementation Leaders, Compatibility, Available Resources, External Change Agents, Champions, Relative Advantage, and Key Stakeholders.
conclusionsA more systematic approach to guiding implementation efforts will lead to the development of effective implementation strategies that could ultimately improve implementation outcomes. While quantifying qualitative data inherently removes some important nuance, by identifying key determinants, we hope to help researchers and practitioners identify which factors are likely to facilitate success of their implementation efforts.
trial registrationThe protocol for this systematic review was published with PROSPERO (CRD42023416340).
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What OpenQuestion holds
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.