CFIR constructs and their perceived impacts on the HoMHyper intervention and valence scores for stakeholder perceptions assigned to the constructs
Domain | Construct | Valence score* | |
Perceived barriers (n=5) | Perceived facilitators (n=10) | ||
Intervention characteristics | Better than current practice | 2.00 | |
Easy to implement | 1.50 | ||
Adaptable to the local setting | 1.75 | ||
Inner setting | Staff shortages | −0.50 | |
CHW incentivisation | −2.00 | ||
Organisational commitment | 1.50 | ||
CHW training and support | 2.00 | ||
Outer setting | Patient privacy and confidentiality | −1.25 | |
Access to medication, stockouts and equipment shortage | −2.00 | ||
Community partnership and connections | 1.50 | ||
Individual domain | Patient knowledge and beliefs about hypertension | −1.00 | |
CHW self-efficacy | 1.50 | ||
CHW knowledge and skills | 1.75 | ||
Process | Structured planning of activities | 2.00 | |
Engagement and communication | 1.75 |
*A positive score denotes a positive influence, while a negative score denotes a negative influence on intervention implementation.
CFIR, Consolidated Framework for Implementation Research; CHW, community health worker; HoMHyper, home management of hypertension.