Implementation of a multicomponent responsible beverage service programme in Sweden - a
qualitative study of promoting and hindering factors
Sammanfattning
AIMS - The objective of this study was to identify factors that either promote or hinder
implementation of a multicomponent Responsible Beverage Service programme in Swedish
municipalities. DESIGN - Forty semi-structured interviews were conducted in six municipalities and
directed content analysis, guided by the Consolidated Framework for Implementation Research
(CFIR), was performed. RESULTS - The CFIR framework was useful as an underlying theoretical
model in this study. Importance of the following factors, described in the five domains of CFIR, was
empirically supported in this study: local needs, evidence strength and advantages of the
intervention, costs and available resources, clear goals, evaluation and feedback, access to
knowledge and information, clear role definitions and cooperation, and enthusiastic key persons with
high confidence in the effectiveness of the intervention. Hindering factors listed by the informants
were lack of enthusiasm and opportunities to specialise, low degree of self-efficacy, unengaged
decision-makers, complexities of the programme, and a top-down approach. CONCLUSIONS - This
study indicates that previously identified factors shown to promote and hinder implementation
processes are also valid in the context of multicomponent community action programmes like RBS.
Suggestions on how to elude some of the hindering factors are proposed, e.g. to develop long-time
financial plans, to provide better information about the RBS program in full, and to stress the
importance of collaboration between representatives from the municipalities, police authorities and
owners of on-licenced premises.