The Quality Implementation Framework: A Synthesis of Critical Steps in the Implementation Process
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Implementation science is growing in importance among funders, researchers, and practitioners as an approach to bridging the gap between science and practice. We addressed three goals to contribute to the understanding of the complex and dynamic nature of implementation. Our first goal was to provide a conceptual overview of the process of implementation by synthesizing information from 25 implementation frameworks. The synthesis extends prior work by focusing on specific actions (i.e., the “how to”) that can be employed to foster high quality implementation. The synthesis identified 14 critical steps that were used to construct the Quality Implementation Framework (QIF). These steps comprise four QIF phases: Initial Considerations Regarding the Host Setting, Creating a Structure for Implementation, Ongoing Structure Once Implementation Begins, and Improving Future Applications. Our second goal was to summarize research support for each of the 14 QIF steps and to offer suggestions to direct future research efforts. Our third goal was to outline practical implications of our findings for improving future implementation efforts in the world of practice. The QIF’s critical steps can serve as a useful blueprint for future research and practice. Applying the collective guidance synthesized by the QIF to the Interactive Systems Framework for Dissemination and Implementation (ISF) emphasizes that accountability for quality implementation does not rest with the practitioner Delivery System alone. Instead, all three ISF systems are mutually accountable for quality implementation.
KeywordsImplementation Knowledge utilization Implementation framework Implementation science
- Aarons, G. A., Sommerfeld, D., Hecht, D. B., Silovsky, J. F., & Chaffin, M. J. (2009). The impact of evidence-based practice implementation and fidelity monitoring on staff turnover: Evidence for a protective effect. Journal of Consulting and Clinical Psychology, 77, 270–280.PubMedCrossRefGoogle Scholar
- Baker, R., Robertson, N., Rogers, S., Davies, M., Brunskill, N., & Sinfield, P. (2009). The National Institute of Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Leicestershire, Northamptonshire and Rutland (LNR): A programme protocol. Implementation Science, 4, 72.Google Scholar
- Bellg, A. J., Borrelli, B., Resnick, B., Hecht. J., Minicucci, D. S., Ory, M., et al. (2004). Enhancing treatment fidelity in health behavior change studies: best practices and recommendations from the NIH Behavior Change Consortium. Health Psychology, 23, 443–451.Google Scholar
- Centers for Disease Control and Prevention Global AIDS Program. (2010, August 9). CDC’s role in PEPFAR and the U.S. Global Health Initiative. Retrieved from http://www.cdc.gov/globalaids/support-evidence-based-programming/implementation-science.html.
- Chinman, M., Imm, P., & Wandersman, A. (2004). Getting to Outcomes 2004: Promoting accountability through methods and tools for planning, implementation, and evaluation. (No. TR- TR101). Santa Monica, CA: RAND.Google Scholar
- Chorpita, B. F., Yim, L. M., Donkervoet, J. C., Arensdorf, A., Amundsen, M. J., McGee, C., et al. (2002). Toward large-scale implementation of empirically supported treatments for children: A review and observations by the Hawaii empirical basis to services task force. Clinical Psychology: Science and Practice, 9, 165–190.Google Scholar
- Collaborative for Academic, Social, and Emotional Learning, National Center for Mental Health Promotion and Youth Violence Prevention. (2011). Leading an SEL school: Steps to implement social and emotional learning for all students. 5/20/11, Education Development Center. Google Scholar
- Cook, T. D., Habib, F. N., Phillips, M., Settersten, R. A., Shagle, S. C., & Degirmencioglu, S. M. (1999). Comer’s school development program in Prince George’s county, Maryland: A theory-based evaluation. American Educational Research Journal, 36, 543–597.Google Scholar
- Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4, 50.Google Scholar
- DuFrene, B. A., Noell, G. H., Gilbertson, D. N., & Duhon, G. J. (2005). Monitoring implementation of reciprocal peer tutoring: Identifying and intervening with students who do not maintain accurate implementation. School Psychology Review, 34, 74–86.Google Scholar
- Elder, J. P., Perry, C. L., Stone, E. J., Johnson, C. C., Yang, M., Edmundson, E. W., et al. (1996). Tobacco use measurement, prediction, and intervention in elementary schools in four states: The CATCH study. Preventive Medicine, 25, 489–494.Google Scholar
- Fixsen, D. L., Naoom, S. F., Blasé, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231). Retrieved November 1, 2006, from http://nirn.fmhi.usf.edu/resources/publications/Monograph/pdf/monograph_full.pdf.
- Gottfredson, D. C., Gottfredson, G. D., & Hybl, L. G. (1993). Managing adolescent behavior: A multiyear, multi school study. American Educational Research Journal, 30, 179–215.Google Scholar
- Greenberg, M. T., Domitrovich, C. E., Graczyk, P. A., & Zins, J. E. (2005). The study of implementation in school-based preventive interventions: Theory, research, and practice (volume 3). DHHS Pub. No. (SMA). Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, 2005.Google Scholar
- Guldbrandsson, K. (2008). From news to everyday use: The difficult art of implementation. Ostersund, Sweden: Swedish National Institute of Public health. Retrieved from www.fhi.se/PageFiles/3396/R200809_implementering_eng0805.pdf.
- Hall, G. E., & Hord, S. M. (2006). Implementing change: Patterns, principles and potholes (2nd ed.). Boston, MA: Allyn and Bacon.Google Scholar
- International Organization for Standardization. (1998). ISO/IEC international standard 13236: Information technology—Quality of service: Framework. First edition.Google Scholar
- Joyce, R. B., & Showers, B. (2002). Student achievement through staff development (3rd ed.). Alexandria, VA: Association for Supervision and Curriculum Development.Google Scholar
- Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementation. Academy of Management Review, 21, 1055–1080.Google Scholar
- Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Alonnidis, J. P., et al. (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. BMJ, 339, b2700.Google Scholar
- Maxwell, J. A. (2005). Qualitative research design: An interactive approach (2nd ed.). Thousand: SageOaks. 2005.Google Scholar
- Meyers, D. C., Katz, J., Chien, V., Wandersman, A., Scaccia, J. P., & Wright, A. (2012). Practical implementation science: Developing and piloting the Quality Implementation Tool. American Journal of Community Psychology. doi: 10.1007/s10464-012-9521-y.
- Mihalic, S., Fagan, A. A., Irwin, K., Ballard, D., & Elliott, D. (2004). Blueprints for violence prevention. Washington, DC: Office of Juvenile Justice and Delinquency Prevention.Google Scholar
- Miles, M., & Huberman, M. (1994). Qualitative data analysis: An expanded sourcebook (2nd ed.). London: Sage.Google Scholar
- National Institutes of Health. (2011, October 25). Dissemination and implementation. Retrieved from http://obssr.od.nih.gov/scientific_areas/translation/dissemination_and_implementation/index.aspx.
- Partnerships for Success Community Planning and Implementation Guide. (2003). www.pfsacademy.org.
- Proctor, E. K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services: An emerging science with conceptual, methodological, and training challenges. Administration and Policy in Mental Health and Mental Health Services Research, 36, 24–34.PubMedCrossRefGoogle Scholar
- Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York: Free Press.Google Scholar
- Sholomskas, D. E., Syracuse-Siewert, G., Rounsaville, B. J., Ball, S. A., Nuro, K. F., & Carroll, K. M. (2005). We don’t train in Vain: A dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 73, 106–115.PubMedCrossRefGoogle Scholar
- Smith, J. D., Schneider, B. H., Smith, P. K., & Ananiadou, K. (2004). The effectiveness of whole-school antibullying programs: A synthesis of evaluation research. School Psychology Review, 33, 547–560.Google Scholar
- Sobo, E. J., Bowman, C., Halloran, J., Aarons, G. A., Asch, S., & Gifford, A. L. (2008). Enhancing organizational change and improvement prospects: Lessons from an HIV testing intervention for veterans. Human Organization, 67, 443–453.Google Scholar
- Tobler, N. S. (1986). Meta-analysis of 143 adolescent drug prevention programs: Quantitative outcome results of program participants compared to a control or comparison group. Journal of Drug Issues, 16, 537–567.Google Scholar
- Van de Ven, A. H., Angles, H. L., & Poole, M. S. (1989). Research on the management of innovation: The Minnesota studies. New York: Harper and Row.Google Scholar
- Wandersman, A., Chien, V., & Katz. J. (2012). Toward an evidence-based system for innovation support for implementing innovations with quality: Tools, training, technical assistance, and quality assurance/quality improvement. American Journal of Community Psychology. doi: 10.1007/s10464-012-9509-7.
- Wandersman, A., Duffy, J., Flaspohler, P., Noonan, R., Lubell, K., Stillman, L., Blachman, M., Dunville, R., & Saul, J. (2008). Bridging the gap between prevention research and practice: The Interactive Systems Framework for dissemination and implementation. American Journal of Community Psychology, 41, 171–181.PubMedCrossRefGoogle Scholar