Tinc et al. 2018. Applying the Consolidated Framework for implementation research to agricultural safety and health: Barriers, facilitators, and evaluation opportunities

The CFIR has been increasingly applied in sectors other than health and medical. One study, led by Dr. Pamela Tinc, of the Northeast Center for Occupational Health and Safety: Agriculture, Forestry, and Fishing in Cooperstown, NY, published an evaluation of a rebate program for farmers. Tractor roll-overs are the number one cause of death for US farmers. The Rollover Protective Structure (ROPS) was designed to prevent rollovers but costs money to purchase and install. This study sought to implement a rebate program to provide financial assistance to farmers to install ROPS kits on their tractors. The authors operationalized CFIR for use in this very non-clinical setting. They elicited importance for each CFIR construct from 77 members of an agricultural coalition to narrow the list of 23 constructs. Next, they used a “think aloud” approach to design a short and simple survey to elicit level of importance for each construct based on its potential influence on implementation efforts. This is the first published study to describe use of the CFIR within an occupational safety context, specifically within the agricultural community.