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Welcome to the CFIR-ERIC Barrier Buster Tool V0.53
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● A full description of CFIR constructs can be found at https://doi.org/10.1186/1748-5908-4-50 and www.cfirguide.org
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● A full description of the ERIC implementation strategy compilation can be found at https://doi.org/10.1186/s13012-015-0209-1
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● Please see below for important Disclaimer.
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● CFIR constructs were framed as barriers for the purpose of this work. This Tool is provided based on endorsements from n=169 respondents who selected and ranked "up to 7 strategies that would best address" each CFIR barrier.
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How to use this workbook:
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1) The "Summary" worksheet provides the results of the rank task where ERIC strategies are considered endorsed if they were ranked by a panelist for a specific CFIR-related barrier. Percentages reflect the proportion of panelists endorsing a strategy as being a "top seven" strategy for that barrier.
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2) The "CFIR" worksheet allows a user to indicate specific barriers of interest, and then initiate a query by clicking the "Query" button at the bottom of the worksheet. The output of the query is posted to the "Output" worksheet. If multiple barriers were selected, then a cumulative percentage column will appear next to the strategies and the strategies will be sorted by the cumulative percentage value. The CFIR barriers comprising the query and their individual endorsement percentages will be presented to the right of the cumulative percentage column.
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3) The "Query" tool operates by "macros" (programs that run in the background of Excel). The security settings of your computer may block you from using this aspect of the tool. Typically you will receive a warning near the top of the Excel toolbar that will say "Security Warning: Macros have been disabled" with an "Enable Content" button next to the warning. Click the Enable Content button to be able to use the tool.

If your security settings are set higher, please refer to Microsoft assistance to change your macro settings: https://support.office.com/en-us/article/Always-enable-macros-in-a-workbook-81a126e8-e01d-4878-9fea-33420ec91fb5
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Please contact the corresponding author, Tom Waltz, at twaltz1@emich.edu if you need any assistance using this Tool.
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Disclaimer
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Version 0.5x of this Tool is based on results for the top seven ERIC strategies experts selected to address specif CFIR barriers. There was substantial heterogeneity in the participant's rankings resulting in limited areas of high consensus. Majority endorsement was obtained for 22 ERIC strategies across 21 CFIR barriers (Level 1 strategies) with a total of 36 instances of majority endorsement out of a possible 2,847 opportunities (i.e., 73 ERIC strategies X 39 CFIR barriers). Level 2 strategies are those where 20% to 49.9% of respondents endorsed. Level 2 strategies fall within the top quartile of the recommendations obtained from this study.

We offer this Tool as a distribution mechanism for researchers and practitioners to test these results. A publication is in process. The citation will be added to this Tool in a subsequent version.

The extent to which results apply to your unique setting is an open question. The results from this study may help inform implementation planniung efforts, but cannot be a substitute for context- and content-specific analysis of needs for a specific initiative. We encourage being cautious in applying the recommendations encapsulated in this Tool and testing whether they lead to successful implementation. Collective contribution to building the knowedge-base to improve this Tool is essential.

Please feel free to contact any of the authors of this work for broader questions about the content encapsulated within this tool:

Laura Damschroder: Laura.Damschroder@va.gov
Byron Powell: bjpowell@email.unc.edu
Tom Waltz: twaltz1@emich.edu
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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
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