BACKGROUND: Putting evidence into practice at the point of care delivery requires an understanding of implementation strategies that work, in what context and how. OBJECTIVE: To identify methodological issues in implementation science using 4 studies as cases and make recommendations for further methods development. RESEARCH DESIGN: Four cases are presented and methodological issues identified. For each issue raised, evidence on the state of the science is described. RESULTS: Issues in implementation science identified include diverse conceptual frameworks, potential weaknesses in pragmatic study designs, and the paucity of standard concepts and measurement. CONCLUSIONS: Recommendations to advance methods in implementation include developing a core set of implementation concepts and metrics, generating standards for implementation methods including pragmatic trials, mixed methods designs, complex interventions and measurement, and endorsing reporting standards for implementation studies.
BACKGROUND: Putting evidence into practice at the point of care delivery requires an understanding of implementation strategies that work, in what context and how. OBJECTIVE: To identify methodological issues in implementation science using 4 studies as cases and make recommendations for further methods development. RESEARCH DESIGN: Four cases are presented and methodological issues identified. For each issue raised, evidence on the state of the science is described. RESULTS: Issues in implementation science identified include diverse conceptual frameworks, potential weaknesses in pragmatic study designs, and the paucity of standard concepts and measurement. CONCLUSIONS: Recommendations to advance methods in implementation include developing a core set of implementation concepts and metrics, generating standards for implementation methods including pragmatic trials, mixed methods designs, complex interventions and measurement, and endorsing reporting standards for implementation studies.
Authors: Kathleen R Stevens; Eileen P Engh; Heather Tubbs-Cooley; Deborah Marks Conley; Tammy Cupit; Ellen D'Errico; Pam DiNapoli; Joleen Lynn Fischer; Ruth Freed; Anne Marie Kotzer; Carolyn L Lindgren; Marie Ann Marino; Lisa Mestas; Jessica Perdue; Rebekah Powers; Patricia Radovich; Karen Rice; Linda P Riley; Peri Rosenfeld; Linda Roussel; Nancy A Ryan-Wenger; Linda Searle-Leach; Nicole M Shonka; Vicki L Smith; Laura Sweatt; Mary Townsend-Gervis; Ellen Wathen; Janice S Withycombe Journal: Res Nurs Health Date: 2017-03-15 Impact factor: 2.228
Authors: Mary Ersek; Moni Blazej Neradilek; Keela Herr; Anita Jablonski; Nayak Polissar; Anna Du Pen Journal: J Am Med Dir Assoc Date: 2016-02-17 Impact factor: 4.669
Authors: Erin Kelly Tagai; Mary Ann Scheirer; Sherie Lou Z Santos; Muhiuddin Haider; Janice Bowie; Jimmie Slade; Tony L Whitehead; Min Qi Wang; Cheryl L Holt Journal: Health Promot Pract Date: 2017-10-23
Authors: Hilary Pinnock; Eleni Epiphaniou; Aziz Sheikh; Chris Griffiths; Sandra Eldridge; Peter Craig; Stephanie J C Taylor Journal: Implement Sci Date: 2015-03-30 Impact factor: 7.327
Authors: Rachel Gold; Celine Hollombe; Arwen Bunce; Christine Nelson; James V Davis; Stuart Cowburn; Nancy Perrin; Jennifer DeVoe; Ned Mossman; Bruce Boles; Michael Horberg; James W Dearing; Victoria Jaworski; Deborah Cohen; David Smith Journal: Implement Sci Date: 2015-10-16 Impact factor: 7.327