Identification of implementation strategies for community health management of cardiovascular-kidney-metabolic (CKM) syndrome using the CFIR-ERIC matching tool: a mixed methods study

OBJECTIVE: This study aimed to identify the barriers and facilitators of the implementation of community health management for cardiovascular-kidney-metabolic (CKM) syndrome in China, and develop a priority strategy combination. METHODS: This mixed methods study was conducted in Tianjin, China and involved 14 stakeholders and 228 medical personnel. Semi-structured interviews explored domains of the Consolidated Framework for Implementation Research (CFIR). Interview transcripts were double-coded via directed content analysis. The CFIR-ERIC Matching Tool was used to create matching strategies to address prioritized barriers. The Best-Worst Scaling method was used to further refine implementation strategies. RESULTS: The CFIR Outer Setting, Inner Setting, Intervention Characteristics, and Implementation Process domains were facilitating factors. The Inner Setting, Intervention Characteristics, and Implementation Process domains also emerged as key barriers impeding CKM syndrome health management. Developing a formal implementation blueprint, accessing new funding, promoting adaptability, and identifying and preparing champions may contribute to a more effective and sustainable approach to the community health management of CKM syndrome. CONCLUSIONS: This study identified critical barriers and facilitators influencing community health management of CKM syndrome in China. The proposed strategies-systematic implementation protocols, multi-source funding, contextually tailored approaches, and institutional advocacy-address core obstacles, offering an innovative paradigm for chronic disease management in developing countries. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A477.