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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.