Evolution of the Consolidated Framework for Implementation Research (CFIR): Overview of CFIR 2.0
Laura Damschroder, MPH
Caitlin Reardon, MPH
Seminar date: 3/21/2022
Description: Abstract: This presentation will provide an overview of the Consolidated Framework for Implementation Research (CFIR) 2.0. The CFIR was originally published in 2009 and is among the most frequently cited implementation science frameworks. As a determinant framework, it is used to guide identification and understanding of barriers and facilitators to implementing innovations. To advance the implementation science, evolution of frameworks like the CFIR is necessary. A systematic search of the literature (n=377 articles) and a survey of authors (n=130/334) provided a range of critique and recommendations for CFIR 2009. These were used to guide development of CFIR 2.0, which reflects significant changes across the five domains. CFIR 2.0 will provide stronger centering of the people involved, more generalized language to accommodate uses outside medical setting, and more guidance for users to e.g., clearly define the Innovation, defining boundaries and bridges between Inner and Outer Settings, the role of teams, and addressing equity. As implementation science matures as a discipline, frameworks must mature too. The CFIR V2 includes significant improvements based on user recommendations.