A compilation of strategies for implementing clinical innovations in health and mental health.
Byron J. Powell,J. Curtis McMillen,Enola K. Proctor,Chris Carpenter,Richard T. Griffey,Alicia C. Bunger,Joseph E. Glass,Jennifer L. York +7 more
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TLDR
This consolidated compilation can serve as a reference to stakeholders who wish to implement clinical innovations in health and mental health care and can facilitate the development of multifaceted, multilevel implementation plans that are tailored to local contexts.Abstract:
Efforts to identify, develop, refine, and test strategies to disseminate and implement evidence-based treatments have been prioritized in order to improve the quality of health and mental health care delivery. However, this task is complicated by an implementation science literature characterized by inconsistent language use and inadequate descriptions of implementation strategies. This article brings more depth and clarity to implementation research and practice by presenting a consolidated compilation of discrete implementation strategies, based on a review of 205 sources published between 1995 and 2011. The resulting compilation includes 68 implementation strategies and definitions, which are grouped according to six key implementation processes: planning, educating, financing, restructuring, managing quality, and attending to the policy context. This consolidated compilation can serve as a reference to stakeholders who wish to implement clinical innovations in health and mental health care and can fac...read more
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A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project.
Byron J. Powell,Thomas J. Waltz,Matthew Chinman,Laura J. Damschroder,Jeffrey L. Smith,Monica M. Matthieu,Monica M. Matthieu,Enola K. Proctor,JoAnn E. Kirchner,JoAnn E. Kirchner +9 more
TL;DR: The ERIC study aimed to refine a published compilation of implementation strategy terms and definitions by systematically gathering input from a wide range of stakeholders with expertise in implementation science and clinical practice to generate consensus on implementation strategies and definitions.
Journal ArticleDOI
Implementation strategies: recommendations for specifying and reporting
TL;DR: This work proposes guidelines for naming, defining, and operationalizing implementation strategies in terms of seven dimensions: actor, the action, action targets, temporality, dose, implementation outcomes addressed, and theoretical justification.
Journal ArticleDOI
Methods to Improve the Selection and Tailoring of Implementation Strategies.
Byron J. Powell,Rinad S. Beidas,Cara C. Lewis,Gregory A. Aarons,J. Curtis McMillen,Enola K. Proctor,David S. Mandell +6 more
TL;DR: Four methods (concept mapping, group model building, conjoint analysis, and intervention mapping) that could be used to match implementation strategies to identified barriers and facilitators for a particular evidence-based practice or process change being implemented in a given setting are proposed.
Journal ArticleDOI
Use of concept mapping to characterize relationships among implementation strategies and assess their feasibility and importance: results from the Expert Recommendations for Implementing Change (ERIC) study
Thomas J. Waltz,Byron J. Powell,Monica M. Matthieu,Monica M. Matthieu,Laura J. Damschroder,Matthew Chinman,Jeffrey L. Smith,Enola K. Proctor,JoAnn E. Kirchner,JoAnn E. Kirchner +9 more
TL;DR: The Expert Recommendations for Implementing Change (ERIC) study aims to address one area of terminological inconsistency: discrete implementation strategies involving one process or action used to support a practice change.
Journal ArticleDOI
Choosing implementation strategies to address contextual barriers: diversity in recommendations and future directions
TL;DR: The wide heterogeneity of endorsements obtained in this study’s task suggests that there are relatively few consistent relationships between CFIR-based barriers and ERIC implementation strategies.
References
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Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science
Laura J. Damschroder,David C. Aron,Rosalind E. Keith,Susan Kirsh,Jeffery A. Alexander,Julie C. Lowery +5 more
TL;DR: The CFIR provides a pragmatic structure for approaching complex, interacting, multi-level, and transient states of constructs in the real world by embracing, consolidating, and unifying key constructs from published implementation theories.
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Diffusion of Innovations in Service Organizations: Systematic Review and Recommendations
TL;DR: A parsimonious and evidence-based model for considering the diffusion of innovations in health service organizations, clear knowledge gaps where further research should be focused, and a robust and transferable methodology for systematically reviewing health service policy and management are discussed.
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From best evidence to best practice: effective implementation of change in patients' care
Richard Grol,Jeremy M. Grimshaw +1 more
TL;DR: In this article, the authors provide an overview of present knowledge about initiatives to changing medical practice and suggest that to change behaviour is possible, but this change generally requires comprehensive approaches at different levels (doctor, team practice, hospital, wider environment), tailored to specific settings and target groups.
Journal Article
From best evidence to best practice: effective implementation of change in patients' care. Commentary
TL;DR: An overview of present knowledge about initiatives to changing medical practice is provided, showing that none of the approaches for transferring evidence to practice is superior to all changes in all situations.
Implementation research: a synthesis of the literature.
TL;DR: The authors call for applied research to better understand service delivery processes and contextual factors to improve the efficiency and effectiveness of program implementation at local state and national levels.