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Innovation Adoption: A Review of Theories and Constructs

  • Jennifer P. WisdomEmail author
  • Ka Ho Brian Chor
  • Kimberly E. Hoagwood
  • Sarah M. Horwitz
Original Article

Abstract

Many theoretical frameworks seek to describe the dynamic process of the implementation of innovations. Little is known, however, about factors related to decisions to adopt innovations and how the likelihood of adoption of innovations can be increased. Using a narrative synthesis approach, this paper compared constructs theorized to be related to adoption of innovations proposed in existing theoretical frameworks in order to identify characteristics likely to increase adoption of innovations. The overall goal was to identify elements across adoption frameworks that are potentially modifiable and, thus, might be employed to improve the adoption of evidence-based practices. The review identified 20 theoretical frameworks that could be grouped into two broad categories: theories that mainly address the adoption process (N = 10) and theories that address adoption within the context of implementation, diffusion, dissemination, and/or sustainability (N = 10). Constructs of leadership, operational size and structure, innovation fit with norms and values, and attitudes/motivation toward innovations each are mentioned in at least half of the theories, though there were no consistent definitions of measures for these constructs. A lack of precise definitions and measurement of constructs suggests further work is needed to increase our understanding of adoption of innovations.

Keywords

Adoption Evidence-based treatments and practices Organization Innovation Implementation 

Notes

Acknowledgments

This manuscript was created with support from the National Institute on Mental Health (P30 MH090322, PI: Hoagwood). Dr. Wisdom’s work on this manuscript was conducted while she was at Columbia University.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Jennifer P. Wisdom
    • 1
    Email author
  • Ka Ho Brian Chor
    • 2
  • Kimberly E. Hoagwood
    • 2
  • Sarah M. Horwitz
    • 2
  1. 1.George Washington UniversityWashingtonUSA
  2. 2.New York University Child Study Center, New York University Langone Medical CenterNew YorkUSA

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