Barrier | CFIR Domain - Construct | Illustrative Quote or Example |
---|---|---|
Identification of Patients with Low Back Pain | Characteristics of Individuals - Knowledge & Beliefs about the Intervention | “The challenge was knowing the patient was here for back pain.” |
Outer Setting - Patient Needs & Resources | “Some patients are reluctant to talk about their issues. They want to wait until they’re talking to the physician.” | |
Technology | Outer Setting - Patient Needs & Resources | “Some patients get through the tablet and some just don’t, because of age or not tech-savvy.” |
Process - Executing | “I do have to go up to the front desk to get the tablet and the front desk has to change the visit type [in the EHR].” | |
Inner Setting - Networks & Communications | Example: Some clinics had figured out solutions or work arounds to issues with study activities in the EHR while other clinics within their practice were not aware of these solutions/work arounds. | |
Physician Engagement | Process - Engaging | “Some [physicians] don’t even want the questionnaires done because they are busy, and they need to get in to see the patient.” |
Competing Priorities | Inner Setting - Relative Priority | “We have a lot of #1 priorities and back pain is not one of them.” |