What impacts a clinic's ability to select and adapt EBIs impact?

Increasing a clinic’s ability to select and adapt EBIs that in combination meet their specific needs, increases the clinic’s capacity to strengthen their EBI approach over time. This happens because if a clinic selects the best suited EBIs initially, the EBIs are more likely to be effective and only require moderate changes over time. Similarly, selecting and adapting the most appropriate and best fit EBIs initially, and then strengthening them over time as necessary, increases the extent to which EBIs can address multilevel success factors.

A clinic’s capacity for systems thinking is also important to consider. Systems thinking capacity increases the overall understanding of factors that influence CRC screening in the context of a specific clinic, which allows the clinic to select the most suitable EBIs. An increased understanding of the system also helps the clinic to better strengthen EBIs over time and adapt EBIs to better match their needs. Adapting EBIs to better match the needs of a specific population, increases the extent to which the EBIs can address multilevel success factors.^{195, 198, 318, 323}