Table 2

Across trial results: barriers and facilitators to implementation across the six HTA trials by CFIR domains and constructs

	Implementation did occur						Implementation did not occur
	FOOD		EVAR		KAT		REFLUX		REACTIV		CLaSS
CFIR domains and constructs	Barrier	Facilitator	Barrier	Facilitator	Barrier	Facilitator	Barrier	Facilitator	Barrier	Facilitator	Barrier	Facilitator
1. Innovation characteristics
1.A. Innovation source
1.B. Evidence strength		√	X	√	X	√	X	√	X	√	X	√
1.C. Relative advantage	X	√	X	√	X		X		X			√
1.D. Adaptability
1.E. Trialability
1.F. Complexity	X	√	X		X	√		√	X		X	√
1.G. Design quality and packaging
1.H. Cost			X	√		√	X		X		X
2. Outer setting
2.A. Needs and resources of those served	X	√	X	√			X		X		X	√
2.B. Cosmopolitanism
2.C. Peer pressure					X	√					X	√
2.D. External policies and incentives	X	√	X	√		√	X		X	√	X	√
3. Inner setting
3.A. Structural characteristics		√	X	√		√	X
3.B. Networks and communications		√				√	X	√	X	√	X	√
3.C. Culture		√	X	√	X	√			X		X
3.D. Implementation climate			X
3.D1. Tension for change			X
3.D2. Compatibility	X		X	√		√	X
3.D3. Relative priority		√					X
3.D4. Organisational incentives and rewards			X
3.D5. Goals and feedback
3.D6. Learning climate
3.E. Readiness of implementation										√		√
3.E1. Leadership engagement
3.E2. Available resources	X	√	X	√		√	X		X		X	√
3.E3. Access to knowledge and information		√			X	√	X
4.Characteristics of individual
4.A. Knowledge and beliefs		√	X	√	X	√	X	√	X		X	√
4.B. Self-efficacy		√	X	√		√	X	√	X	√	X	√
4.C. Individual stage of change					X	√
4.D. Individual identification with organisation		√
4.E. Other personal attributes
5. Process
5.A. Planning						√
5.B. Engaging											X	√
5.B1. Opinion leaders			X	√						√	X	√
5.B2. Appointed internal implementation leaders												√
5.B3. Champions	x
5.B4. External change agents			X			√					X
5.B5. Key stakeholders
5.B6. Innovation participants			X	√	X	√	X	√	X	√	X	√
5.C. Executing
5.D. Reflecting and evaluating