Fig. 3: Conceptual framework integrating the Social Ecological Model (SEM) and Consolidated Framework for Implementation Research (CFIR). | npj Dementia

Fig. 3: Conceptual framework integrating the Social Ecological Model (SEM) and Consolidated Framework for Implementation Research (CFIR).

From: Adaptive community care for mild cognitive impairment: a SMART randomized trial with cognitive and implementation outcomes

Fig. 3: Conceptual framework integrating the Social Ecological Model (SEM) and Consolidated Framework for Implementation Research (CFIR).

This framework illustrates how multilevel contextual determinants—including organizational, interpersonal, and individual domains—interact dynamically to influence the development, execution, and outcomes of community-based adaptive interventions. The implementation process domain details specific steps, from stakeholder engagement and contextualized strategy development to adaptive execution and data-driven refinement, emphasizing iterative feedback mechanisms for optimizing intervention effectiveness, acceptability, and sustainability.

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