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The CFIR [23] was used to structure the analysis. The data analysis performed in this study does not include any quantification of responses regarding specific categories.
CFIR identifies 5 domains that are essential to implement an intervention [23]:
Intervention characteristics—features of the intervention itself, such as complexity, evidence strength and quality, and adaptability.
Outer setting—the external environment influencing implementation, such as external policies and incentives.
JMIR Mhealth Uhealth 2026;14:e69590
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Several frameworks applied to DHI implementation research include the Consolidated Framework for Implementation Research (CFIR) [9-12], the Theoretical Domains Framework [13], Promoting Action on Research Implementation in Health Services [14], and others.
J Med Internet Res 2026;28:e76327
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To explore the key factors affecting implementation in our case study, we used the CFIR, which integrates existing theories of implementation and behavior change into a unified framework [28]. The CFIR is a meta-theoretical tool with standardized constructs to examine enablers and barriers to implementation across different stages (preimplementation, during implementation, and postimplementation) [29].
JMIR Med Inform 2026;14:e73831
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The Consolidated Framework for Implementation Research (CFIR) served as the theoretical basis for the interviews with health care professionals to facilitate a better understanding of the institutional factors related to telerehabilitation implementation. The framework maps barriers and facilitators across 5 domains: innovation, inner setting, outer setting, individuals, and implementation process.
JMIR Rehabil Assist Technol 2025;12:e68766
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In this study, we applied two implementation science frameworks, the updated Consolidated Framework for Implementation Research (CFIR), one of the most cited frameworks in implementation research [27], and the nonadoption abandonment, scale-up, spread, and sustainability—complexity assessment tool, a deterministic framework with a focus on digital health technology [18].
J Med Internet Res 2025;27:e66815
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The Consolidated Framework for Implementation Research (CFIR) guided our evaluation [14]. Early findings indicated that leadership, communication, the harmonization of processes across sites, and motivation to serve clients using technology were critical elements of success.
JMIR Aging 2024;7:e63355
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The Consolidated Framework for Implementation Research (CFIR) includes 5 interrelated domains: intervention characteristics, outer setting, inner setting, characteristics of individuals involved, and the process of implementation, with several constructs in each domain [10]. As a framework, the CFIR domains allow for documenting and understanding a nonlinear process of implementation and incorporates consideration of adaptation that is often required for different contexts.
JMIR Form Res 2024;8:e59800
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The CFIR (Consolidated Framework for Implementation Research) [27] has been widely used to guide the systematic assessment of multilevel implementation contexts to identify contextual determinants of implementation success [28]. Using the updated CFIR as a guide [29], we sought to identify and categorize the barriers experienced during the implementation of the RN-driven antibiotic stewardship “i CPR3” intervention.
JMIR Form Res 2024;8:e54996
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Conducting this study, we were inspired by the metatheoretical framework and terminology described by Damschroder et al [17]: the Consolidated Framework for Implementation Research (CFIR). The CFIR is widely used in health services research and specifically adapted to understand facilitators and barriers to implementation, even at an early preimplementation stage [17,18].
JMIR Hum Factors 2024;11:e53391
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Participants were asked fifteen 5-point Likert-scale questions and open-ended questions based on Damschroder “Consolidated Framework for Implementation Research” (CFIR) [21]. The web-based survey tool (Lime Survey) was used.
The participants included stakeholders who were experts from European national and regional Alzheimer associations and thus were knowledgeable about the use of AAL technology in their respective country or region.
JMIR Aging 2023;6:e45231
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