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Effectiveness-implementation Hybrid Designs: Combining Elements of Clinical Effectiveness and Implementation Research to Enhance Public Health Impact

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TLDR
Although traditional clinical effectiveness and implementation trials are likely to remain the most common approach to moving a clinical intervention through from efficacy research to public health impact, judicious use of the proposed hybrid designs could speed the translation of research findings into routine practice.
Abstract
Objectives:This study proposes methods for blending design components of clinical effectiveness and implementation research. Such blending can provide benefits over pursuing these lines of research independently; for example, more rapid translational gains, more effective implementation strategies,

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Journal ArticleDOI

Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation Research.

TL;DR: This paper reviews the principles and practice of purposeful sampling in implementation research, summarizes types and categories of purposefully sampling strategies and provides a set of recommendations for use of single strategy or multistage strategy designs, particularly for state implementation research.
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

A new framework for developing and evaluating complex interventions: Update of Medical Research Council guidance

TL;DR: JBl received funding from NIHR Biomedical Research Centre at University Hospitals Bristol NHS Foundation Trust and the University of Bristol and by the MRC ConDuCT-II Hub (Collaboration and innovation for Difficult and Complex randomised controlled Trials In Invasive procedures).
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An introduction to implementation science for the non-specialist

TL;DR: The authors aim to introduce implementation science principles to non-specialist investigators, administrators, and policymakers seeking to become familiar with this emerging field.
Journal ArticleDOI

Psychometric assessment of three newly developed implementation outcome measures

TL;DR: Three new measures: the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of intervention Measure (FIM) are developed and psychometrically assessed and demonstrate promising psychometric properties.
References
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Journal ArticleDOI

Crossing the Quality Chasm: A New Health System for the 21st Century

Alastair Baker
- 17 Nov 2001 - 
TL;DR: Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Journal ArticleDOI

Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science

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.
Journal ArticleDOI

Why Don't Physicians Follow Clinical Practice Guidelines?: A Framework for Improvement

TL;DR: A differential diagnosis for why physicians do not follow practice guidelines is offered, as well as a rational approach toward improving guideline adherence and a framework for future research are offered.
Journal ArticleDOI

The Agency for Healthcare Research and Quality

TL;DR: The mission of the Agency for Healthcare Research and Quality is “to improve the quality, safety, efficiency, and effectiveness of health care for all Americans”.
Journal Article

Medscape's response to the Institute of Medicine Report: Crossing the quality chasm: a new health system for the 21st century.

TL;DR: The U.S. health care delivery system does not provide consistent, highquality medical care to all people, and if the system cannot consistently deliver today’s science and technology, it is even less prepared to respond to the extraordinary advances that surely will emerge during the coming decades.
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