Table 4

Barriers and facilitators related to Consolidated Framework for Implementation Research (CFIR) characteristics of the individual of the faecal immunochemical test (FIT) intervention

CFIR subdomainThemeFacilitatorsBarriers
Knowledge and beliefs of the individualStaff motivation to adopt and implement FIT
  • Staff believed it would be effective in increasing patient FIT screening

  • Engaging staff around the importance helped bring them on board

  • Not understanding importance of the project

“I think just for this pilot, it was just difficult to have the clinic, understand exactly what we were trying to capture and. But I have to say they, after a while, they did get it you know they understood and I think it was just getting into a rhythm of the collection.” (P110)
Meeting patient needs through the FIT intervention
  • None reported.

Patient awareness around importance of screening
Self-efficacyClinic capacity to implement FIT
  • None reported.

  • Staff turnover was an issue for training

Ensuring understanding of a person’s role in the implementation process
Individual state of changeMeeting patient needs through the FIT intervention
  • None reported.

  • Patients felt embarrassed to carry FIT kits outside the clinic.

  • Patients’ fear of finding out they have CRC

  • Discomfort with sampling: perception that it is dirty or ‘playing with poop’

  • Patients with other pressing health challenges

“Most of the patients are nervous to essentially play with their poop…They don't like doing that and they find that to be very very uncomfortable even if they were in their homes …I mean if they really hesitate to do it we can't force them so just reiterating that it is important, really has that goes into their head saying okay yes my physician wants me to complete this test so I will go ahead and do that. So, most of the time it’s really, you know, touching their bowel movements is not what they're happy to do.” (P100)
  • CRC, colorectal cancer.