What domains are included in CFIR to guide implementation planning and evaluation?

• A. Intervention Characteristics, Outer Setting, Inner Setting, Individuals, Process
• B. Economic, Social, Political, Legal
• C. Stakeholders, Governance, Funding, Risks
• D. Technology, Data, Privacy

Answer: (A)

CFIR guides implementation planning and evaluation by organizing determinants into five domains that cover what affects adoption and sustained use of an intervention.

Intervention Characteristics refers to features of the intervention itself, such as how strong the supporting evidence is, how it compares to alternatives, how adaptable it is, its complexity, and the cost. This domain helps you plan by identifying which features might help or hinder uptake and what adaptations or supports might be needed.

Outer Setting looks at the external context, including patient needs and resources, external policies and incentives, and peer pressures. It informs planning and evaluation by highlighting outside forces that can enable or block implementation and what external partnerships or policy changes may be necessary.

Inner Setting focuses on the organization delivering the intervention. It includes structural characteristics, cultural norms, networks and communication, implementation climate, and readiness for change. This domain guides you to assess internal capacity and alignment, identify champions, and plan for internal changes or supports.

Characteristics of Individuals covers the people involved—their knowledge, beliefs about the intervention, self-efficacy, and personal motivations. Understanding this domain helps tailor training, address concerns, and engage stakeholders effectively.

Process encompasses the actions planned to implement and evaluate the intervention: planning, engaging relevant individuals, executing, and reflecting/evaluating. This domain ensures you have clear steps, appropriate stakeholder involvement, fidelity/needed adaptations, and feedback loops to monitor progress.

The other options describe general concepts or categories that aren’t the specific CFIR domains, so they don’t align with the framework used for systematic implementation planning and evaluation.