Table 2 Application of the Consolidated Framework for Implementation Research (CFIR) to enhancing mental health care in pharmacy practice
From: A theory-informed approach to mental health care capacity building for pharmacists
Domain of CFIR | Example considerations for community pharmacy mental health care |
|---|---|
Outer setting | Economic factors and funding model for service, belief in whether pharmacists are capable of service provision, competition and business interests within pharmacy community, general availability of mental health services. |
Inner setting | Pharmacy type (e.g., chain, franchise, banner, independent, mass merchandisers & food stores), location (e.g., rural, urban), culture, computer systems, dispensary, private patient room/space, proximity and relationships with local prescribers and mental health care professionals. |
Individuals involved | Community pharmacists, pharmacy technicians and assistants, front store staff, people with lived experience of mental illness and/or their support people. |
Intervention | “Buy-in” from pharmacists, complexity of intervention, trialability, adaptability, relative advantage, evidence behind the intervention, quality and packaging of intervention, costs, core components such as: use of website; tools for facilitating health system navigation for patients; and community of practice communications. Adaptable periphery would include when and how to use the tools. |
Intervention implementation process | Sub-processes that focus on the elements of the inner setting, individuals, adaptable intervention, and discussion regarding outer setting complexity and impact on intervention. |