Table 3

Domains, subdomains and determinants of the scaling of de-implementation strategies

DomainSubdomainDeterminants
1.Scaling planCoordination

  • Responsible team with commitment

  • Support

  • Partnerships

Raising awareness

  • Media campaigns

  • Professional and social networks

  • Opinion leaders

Resources

  • Financial resources

  • Sufficient time

  • Skilled team members

2.External contextIncentives for use

  • Political climate

  • Economic climate

  • Regulatory arrangements

  • Payment system

  • Clinical guidelines

Demands and interest

  • Demands of stakeholders

  • Interest of stakeholders

  • Public support

3.De-implementation strategyRelative advantage

  • Gains

  • Investments

  • Risks

  • Evidence

Feasibility

  • Compatibility

  • Adaptability

  • Observability

  • Trialability

  • Complexity

4.AdoptersAdaptability of the adopters

  • Adopters’ characteristics

  • Attitude toward strategy

  • Governance

  • Available resources

Project management

  • Accountability

  • Plan, monitor, evaluate, feedback and adapt

  • Clinical champions

  • Internal partnerships