Table 1
Facilitators and Barriers to Implementation of Contingency Management among Tribal Communities Using the Quality Implementation Framework.
| RELEVANT ACTIVITIES QIF AND HONOR | HONOR COMPLETED PHASE | FACILITATORS TO IMPLEMENTATION | BARRIERS TO IMPLEMENTATION |
|---|---|---|---|
| QIF | |||
| Initial Considerations | |||
| Needs assessment | X | ||
| Fit assessment | X | ||
| Capacity/readiness assessment | X | X | |
| Possibility for adaptation | X | X | |
| Buy-in supportive climate | X | X | |
| General org. capacity building | X | X | |
| Staff recruitment/maintenance | X | X | |
| Pre-intervention training | X | X | |
| Structure for implementation | |||
| Implementation teams | X | X | |
| Implementation plan | X | ||
| Ongoing support strategies | |||
| TA/coaching/supervision | X | X | |
| Process evaluations | X | ||
| Feedback mechanism | X | X | |
| Improving future applications | |||
| Learning from experience | X | X | |
| HONOR Specific Activities | |||
| Community-engaged, CBPR approach | X | X | |
| Tribal resolutions, data-sharing agreements, university, and Tribal IRBs | X | X | |
| Formed an active CAB | X | X | |
| Subawards to each community | X | X | |
| Intervention delivered by community members | X | X | |
| University was not involved with hiring | X | X | |
| University research team also included community members from partnering sites | X | X | |
| Conducted focus groups to increase cultural acceptability and community fit | X | X | |
| Ability to determine in advance which communities would have ongoing capacity to deliver intervention | X | ||
| Community partners co-authors on publications/presentations/dissemination | X | X | |
Figure 1
Site Participation Timeline.
Figure 2
River of Life Partnership.