Implementation strategies: recommendations for specifying and reporting
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TLDR
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.Abstract:
Implementation strategies have unparalleled importance in implementation science, as they constitute the ‘how to’ component of changing healthcare practice. Yet, implementation researchers and other stakeholders are not able to fully utilize the findings of studies focusing on implementation strategies because they are often inconsistently labelled and poorly described, are rarely justified theoretically, lack operational definitions or manuals to guide their use, and are part of ‘packaged’ approaches whose specific elements are poorly understood. We address the challenges of specifying and reporting implementation strategies encountered by researchers who design, conduct, and report research on implementation strategies. Specifically, we propose 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. Ultimately, implementation strategies cannot be used in practice or tested in research without a full description of their components and how they should be used. As with all intervention research, their descriptions must be precise enough to enable measurement and ‘reproducibility.’ We propose these recommendations to improve the reporting of implementation strategies in research studies and to stimulate further identification of elements pertinent to implementation strategies that should be included in reporting guidelines for implementation strategies.read more
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Out of the Crisis
TL;DR: Deming's theory of management based on the 14 Points for Management is described in Out of the Crisis, originally published in 1982 as mentioned in this paper, where he explains the principles of management transformation and how to apply them.
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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
RE-AIM Planning and Evaluation Framework: Adapting to New Science and Practice With a 20-Year Review
Russell E. Glasgow,Samantha M. Harden,Bridget Gaglio,Borsika A. Rabin,Borsika A. Rabin,Matthew Lee Smith,Gwenndolyn C. Porter,Marcia G. Ory,Paul A. Estabrooks +8 more
TL;DR: The application and evolution of RE-AIM is described as well as lessons learned from its use, with increasing the emphasis on cost and adaptations to programs and expanding the use of qualitative methods to understand “how” and “why” results came about.
Journal ArticleDOI
Interventions to improve the appropriate use of polypharmacy for older people
Susan Patterson,Cathal A. Cadogan,Ngaire Kerse,Christopher Cardwell,Marie C. Bradley,Cristín Ryan,Carmel Hughes +6 more
TL;DR: It is unclear whether interventions to improve appropriate polypharmacy, such as pharmaceutical care, resulted in clinically significant improvement; however, they appear beneficial in terms of reducing inappropriate prescribing.
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Making sense of complexity in context and implementation: the Context and Implementation of Complex Interventions (CICI) framework
Lisa M. Pfadenhauer,Ansgar Gerhardus,Kati Mozygemba,Kristin Bakke Lysdahl,Andrew Booth,Bjørn Hofmann,Philip Wahlster,Stephanie Polus,Jacob Burns,Louise Brereton,Eva Rehfuess +10 more
TL;DR: The CICI framework addresses and graphically presents context, implementation and setting in an integrated way and aims at simplifying and structuring complexity in order to advance the understanding of whether and how interventions work.
References
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Book
Diffusion of Innovations
TL;DR: A history of diffusion research can be found in this paper, where the authors present a glossary of developments in the field of Diffusion research and discuss the consequences of these developments.
Posted Content
Out of the Crisis
TL;DR: Deming's theory of management based on the 14 Points for Management is described in Out of the Crisis, originally published in 1982 as mentioned in this paper, where he explains the principles of management transformation and how to apply them.
Journal ArticleDOI
Developing and evaluating complex interventions: The new Medical Research Council guidance
TL;DR: The Medical Research Council's evaluation framework (2000) brought welcome clarity to the task and now the council has updated its guidance.
Journal ArticleDOI
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.