Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science
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Cites background or methods from "Fostering implementation of health ..."
...Other frameworks have relied on existing determinant frameworks and relevant theories in various disciplines, e.g. the frameworks by Gurses et al. [58] and CFIR (Consolidated Framework for Implementation Research) [60]....
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...Described as “an important but poorly understood mediator of change and innovation in health care organizations” ([73]:79), the context lacks a unifying Table 2 Implementation determinants and outcomes in eight determinant frameworks Characteristics of the implementation object Characteristics of the users/adopters (e.g. health care practitioners) Characteristics of the end users (e.g. patients) Characteristics of the context Characteristics of the strategy or other means of facilitating implementation Outcomes PARIHS (Kitson et al. [5]; RycroftMalone [64]) Characteristics of the evidence Characteristics of the clinical experience (addressed as an aspect of the evidence element) Characteristics of the patient experience (addressed as an aspect of the evidence element) Characteristics of the context (comprising culture, leadership and evaluation) Characteristics of the facilitation, i.e. the process of enabling or making easier the implementation Successful implementation of research Conceptual Model (Greenhalgh et al. [17]) Innovation attributes Aspects of adopters (e.g. psychological antecedents and nature of the adoption decision) and assimilation by organizations Not addressed Features of the inner context (organizational antecedents and organizational readiness for innovation) and outer context (e.g. informal interorganizational networks and political directives) Influences (e.g. opinion leaders, champions and network structure) lying on a continuum from diffusion to dissemination Successful diffusion, dissemination and implementation of innovations Grol et al. [22] Features of the innovation Features of the professionals who should use the innovation Features of the patients Features of the social setting (e.g. attitudes of colleagues, culture and leadership) and of the economic, administrative and organizational context Features of the methods and strategies for dissemination and implementation used Implementation of new evidence, guidelines and best practices or procedures Nutley et al. [21] Nature of the research to be applied Personal characteristics of researchers and potential research users and links between research and its users Not addressed Context for the use of research Strategies to improve the use of research Use of research Cochrane et al. [59] Guidelines and evidence barriers Cognitive and behavioural barriers, attitudinal and rational-emotional barriers, health care professional and physician barriers Patient barriers Support and resource barriers, system and process barriers Not addressed Adherence to guidelines or implementation of evidence into clinical practice Ecological Framework (Durlak and DuPre [57]) Characteristics of the innovation Provider characteristics Not addressed Community-level factors (comprising general organizational features, specific organizational practices and processes, and specific staffing considerations) Features of the prevention support system (comprising training and technical assistance) Successful implementation of innovations CFIR (Damschroder et al. [60]) Intervention characteristics Characteristics of individuals Patient needs and resources (addressed as an aspect of the outer setting) Characteristics of the inner setting (e.g. structural characteristics, networks and communications, culture) and outer setting (e.g. cosmopolitanism, external policies and incentives) Effectiveness of process by which implementation is accomplished (comprising planning, engaging, executing, reflection and evaluating) Successful implementation of interventions Gurses et al. [58] Guideline characteristics Clinician characteristics Not addressed Systems characteristics (e.g. physical environment, organizational characteristics) and implementation characteristics (e.g. tension for change and getting ideas from outside the organization) Implementation characteristics (e.g. change agents’ characteristics, relative strengths of supporters and opponents) Adherence to guidelines Conceptual Model Conceptual Model for Considering the Determinants of Diffusion, Dissemination, and Implementation of Innovations in Health Service Delivery and Organization (full title, [17]), CFIR Consolidated Framework for Implementation Research, PARIHS Promoting Action on Research Implementation in Health Services....
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...Furthermore, many theories, models and frameworks have spawned instruments that serve evaluation purposes, e.g. tools linked to PARIHS [132,133], CFIR [134] and Theoretical Domains Framework [135]....
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...The overarching aim is to understand an explain influences on implementation outcomes, e.g. pre outcomes or interpreting outcomes retrospectively Classic theories Theories that originate from fields external to implement science, e.g. psychology, sociology and organizational the which can be applied to provide understanding and/or explanation of aspects of implementation Implementation theories Theories that have been developed by implementation researchers (from scratch or by adapting existing theories and concepts) to provide understanding and/or explanat of aspects of implementation Evaluation frameworks Specify aspects of implementation that could be evaluate determine implementation success ACE Academic Center for Evidence-Based Practice, CFIR Consolidated Framework for Im COM-B Capacity-Opportunities-Motivation-Behaviour, Conceptual Model Conceptu Implementation of Innovations in Health Service Delivery and Organization (full title), K in Health Services, PRECEDE-PROCEED Predisposing, Reinforcing and Enabling Construc Constructs in Educational and Environmental Development, RE-AIM Reach, Effectivene to factors believed or found to influence implementation outcomes (e.g. health care practitioners’ adoption of an evidence-based patient intervention)....
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...[60]) Intervention characteristics Characteristics of individuals Patient needs and resources (addressed as an aspect of the outer setting) Characteristics of the inner setting (e....
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Cites methods from "Fostering implementation of health ..."
..., the Consolidated Framework for Implementation Research [47], Theoretical Domains Framework [48,49], Promoting Action on Research Implementation in Health Services (PARIHS) framework [50])....
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...The team targeted a number of groups based upon their substantial expertise in implementation research, including members of the editorial board for the journal Implementation Science, implementation research coordinators for the VA Quality Enhancement Research Initiatives (QUERIs) [34], and faculty and fellows from the National Institute of Mental Health funded Implementation Research Institute [35]....
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...The compilation’s utility would be enhanced by linking each strategy to the domains of prominent conceptual frameworks (e.g., the Consolidated Framework for Implementation Research [47], Theoretical Domains Framework [48,49], Promoting Action on Research Implementation in Health Services (PARIHS) framework [50])....
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"Fostering implementation of health ..." refers background in this paper
...The degree to which new behaviors are positively or negatively valued heightens intention to change, which is a precursor to actual change [ 61 ]....
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