backlog discussion - Abstract & Title - CFIR Inner Context Coding

[teampsdkathryn]

We need a definition to code our training set for CFIR Inner Context.

After reviewing the manual that was attached to a prior LUCID meeting note I do not see a definition for "inner context" per se.

From prior work I understand CFIR delineates a concept known as "Inner Setting". Inner setting constructs include cultural overall, culture stress, culture effort, implementation climate, leadership engagement, and available resources.

If this is correct, I would suggest we focus the scope of the definition to better suit our dataset.

Your suggestions would be much appreciated.

[teampsdkathryn]

Hello Team,

We need a definition to code our training set for CFIR Inner Context. After reviewing the manual that was attached to a prior LUCID meeting note I do not see a definition for "inner context" per se.

From prior work I understand CFIR delineates a concept known as "Inner Setting". Inner setting constructs include cultural overall, culture stress, culture effort, implementation climate, leadership engagement, and available resources.

If this is correct, I would suggest we focus the scope of the definition to better suit our dataset.

Your suggestions would be much appreciated.

@staceypark @lzim @teampsdkathryn @swapmush

[teampsdkathryn]

Hello Team,

We need a definition to code our training set for CFIR Inner Context. After reviewing the manual that was attached to a prior LUCID meeting note I do not see a definition for "inner context" per se.

From prior work I understand CFIR delineates a concept known as "Inner Setting". Inner setting constructs include cultural overall, culture stress, culture effort, implementation climate, leadership engagement, and available resources.

If this is correct, I would suggest we focus the scope of the definition to better suit our dataset.

Your suggestions would be much appreciated.

@staceypark @lzim @teampsdkathryn @swapmush @dlounsbu

[teampsdkathryn]

Inner setting has several constructs in CFIR. My dear friend, Dr. Randy Gale (deceased) summarized these to me as follows this past summer:

Inner Setting Networks & Communications Implementation Climate Relative Priority Goals & Feedback Readiness for Implementation Leadership Engagement Available Resources Access to Knowledge & Information

It makes sense for us to narrow this down to perhaps one construct as inner setting is comprised of many constructs.

@staceypark @lzim @teampsdkathryn @swapmush @dlounsbu

[teampsdkathryn]

LUCID Meeting Notes Guidelines March 19, 2019

C-CFIR Consolidated Framework for Implementation Research

-We are coding the process domain- as codebook B above.

3a. Our approach to coding the process domain is tracking our MTL fidelity checklist specifically, for plan, engage, enact, evaluate, we are coding question, hypothesis, finding, and decisions.

-A common approach to implementation is to conceive of it as a plan, do , study, act cycle.

-In MTL, we do a PSD cycle where we study the plan using the QHFD dialogue before we do it in the real world.

-Our D includes maybe a big decisions and a lot of little d decisions that are daily. We ask the team to make decisions every time we meet. That is not as common. Most people focus on a big Decision that they all try to do.

3b. CFIR Inner Context Domain

Our goal is to map inner context barriers to our CFBT systems thinking codebook and to our MTL fidelity checklist (ie. the CFIR process domain, our PSDA cycle), so that other researcher who have identified inner context domain barriers (or facilitators) know what modeling to learn has to say about those type of barriers.

CFIR/MTL (strategy; 12 session plan ) -we expect this strategy is generalizable and scalable

A. But, the specific local solution to an implementation problem will always be context/team dependent

B. The same dynamics are in play everywhere, but the best local solution will vary based on team data. (Dynamics before details)

-Dynamics means the causal structure or formal mathematical system of equations.

@staceypark @lzim @teampsdkathryn @swapmush @dlounsbu

[lzim]

@staceypark @teampsdkathryn @swapmush @dlounsbu

Hi Everyone,

The CFIR Inner Setting Domain code definitions are available at the site we've been referencing during our coding meetings as well as in the articles: https://cfirguide.org/constructs/

When you click on the for each category, e.g., "A. structural characteristics" it will take you to a detailed page with detailed information, codebook guidelines, quantiative measures, and references.

As we discussed, in the qualitative workgroup meeting, the CFIR Index words these things slightly differently, so it will be better to go directly to the source 😸

III.	INNER SETTING
A	Structural Characteristics	The social architecture, age, maturity, and size of an organization.
B	Networks and Communications	The nature and quality of webs of social networks and the nature and quality of formal and informal communications within an organization.
C	Culture	Norms, values, and basic assumptions of a given organization.
D	Implementation Climate	The absorptive capacity for change, shared receptivity of involved individuals to an intervention, and the extent to which use of that intervention will be rewarded, supported, and expected within their organization.
1	Tension for Change	The degree to which stakeholders perceive the current situation as intolerable or needing change.
2	Compatibility	The degree of tangible fit between meaning and values attached to the intervention by involved individuals, how those align with individuals’ own norms, values, and perceived risks and needs, and how the intervention fits with existing workflows and systems.
3	Relative Priority	Individuals’ shared perception of the importance of the implementation within the organization.
4	Organizational Incentives and Rewards	Extrinsic incentives such as goal-sharing awards, performance reviews, promotions, and raises in salary, and less tangible incentives such as increased stature or respect.
5	Goals and Feedback	The degree to which goals are clearly communicated, acted upon, and fed back to staff, and alignment of that feedback with goals.
6	Learning Climate	A climate in which: a) leaders express their own fallibility and need for team members’ assistance and input; b) team members feel that they are essential, valued, and knowledgeable partners in the change process; c) individuals feel psychologically safe to try new methods; and d) there is sufficient time and space for reflective thinking and evaluation.
E	Readiness for Implementation	Tangible and immediate indicators of organizational commitment to its decision to implement an intervention.
1	Leadership Engagement	Commitment, involvement, and accountability of leaders and managers with the implementation.
2	Available Resources	The level of resources dedicated for implementation and on-going operations, including money, training, education, physical space, and time.
3	Access to Knowledge and Information	Ease of access to digestible information and knowledge about the intervention and how to incorporate it into work tasks.

[teampsdkathryn]

@staceypark @lzim @teampsdkathryn @swapmush @dlounsbu

"Inner setting" in CFIR is a domain made up of many codes. We are not examining "inner context".

From the prior LZ posting I will assume we should add the following codes to our training set:

For "implementation climate" we will code for:

tension for change compatibility relative priority organizational incentives and rewards goals and feedback learning climate

For "readiness for implementation" we will code for:

leadership engagement available resources access to knowledge and information

Under section 4 (characteristics of individuals: knowledge and beliefs about the intervention, self efficacy, individual state of change, individual identification with organization, other personal attributes) the headings are listed and each should have many codes within them. I will assume we will not add codes from these headings at this time.

I plan to start with Team 1 notes and move forward. Best Regards, Kathryn

[lzim]

@staceypark @lzim @teampsdkathryn @swapmush @dlounsbu

Hi Everyone, I accidentally included Characteristics of Individuals. Kathryn is right stick with the Inner Context III domains for now 👍

[teampsdkathryn]

@staceypark @lzim @teampsdkathryn @swapmush @dlounsbu

Hello Everyone,

Are we coding for the broad category, "D. Implementation Climate"? Please note we are already coding for it's sub-themes: 1. tension for change; 2. compatibility; 3. Relative Priority; 4. Organizational Incentives and Rewards; 5. Goals and Feedback; and 6. Learning Climate.

Moreover, are we coding for the the broad category, "E. Readiness for Implementation?" Please note, we are already coding for it's sub-themes: 1. Leadership Engagement; 2. Available Resources; and 3. Access to Knowledge and Information.

At an earlier qualitative work group meeting it was clarified that we are to code for the following broad categories: A. Structural Characteristics; B. Networks and Communications, and C. Culture.

Thank you, Kathryn

[lzim]

@staceypark @teampsdkathryn @swapmush @dlounsbu

Great question @teampsdkathryn 😺

Yes, we should code the broad categories "Implementation Climate" and "Readiness for Implementation" separately from the domains that comprise D & E.

The CFIR Guide we are following https://cfirguide.org/constructs/ does describe these broad constructs on their own and describe the inclusion/exclusion criteria

See links here: D: https://cfirguide.org/constructs/implementation-climate/ E: https://cfirguide.org/constructs/readiness-for-implementation/

These are also set up in our CFIR coding table in our OSF project r21_qual_cfir:https://osf.io/5abtd/wiki/cfir_inner_context_meeting_2019_03_27/

Therefore the RQDA project codes should be set up for 14 Inner Setting Constructs. I've indicated the lettering below, but we agreed to use descriptive code names, which I've omitted below

a b c d d1 d2 d3 d4 d5 d6 e e1 e2 e3

[teampsdkathryn]

Dear Team,

While I will be out of the office this morning, my files are located on the server at the following location:

Z:\Shared Research\TeamPSD\qual_workgroup\coded_training_data

@lzim @teampsdkathryn @dlounsbu @staceypark @swapmush

[lzim]

Thanks @teampsdkathryn

[staceypark]

@lzim @jessfroe @swapmush @teampsdkathryn @dlounsbu Should we keep this open for when we turn to CFIR? or should this be closed?

[lzim]

@lzim @jessfroe @swapmush @teampsdkathryn @dlounsbu Should we keep this open for when we turn to CFIR? or should this be closed?

This should be linked to a manuscript and OSF project. We can talking about this at the coding meeting.

[jamesmrollins]

According to @staceypark - this is up to the Qual WG to discuss.

[staceypark]

According to @staceypark - this is up to the Qual WG to discuss.

actually I see this is already in Icebox. So I think we're good.

[lzim]

In backlog pending submission of fidelity manuscript