Abstract
There is tremendous value in considering the utility of theories and conceptual frameworks to inform research and practice. This chapter reviews research on the factors within the Consolidated Framework for Implementation Research that are associated with implementation success in studies that represent different settings and interventions: a weight management program in a large integrated US healthcare system; an e-health application in Norway; and a Canadian study of a maternal and child health intervention undertaken in Mali and Ethiopia. We review how these studies identify contextual factors that are associated with effective implementation and, thus, help to differentiate between high and low implementers as well as to highlight factors that can be manipulated throughout the implementation process to improve success. Through a review of these studies, we document how the use of this framework propels our understanding of successful implementation in a way that informs both research and practice.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Barwick, M. (Unpublished). Checklist for assessing readiness for implementation. Retrieved 4 July 2016 from http://melaniebarwick.com/implementation.php
Barwick, M., Barac, R., Akrong, L. M., Johnson, S., & Chaban, P. (2014). Bringing evidence to the classroom: Exploring educator notions of evidence and preferences for practice change. International Education Research, 2(4), 1–15. https://doi.org/10.12735/ier.v2i4p01
Barwick M, Kimber M, Akrong L, Johnson S, Cunningham CE, Bennett K, Ashbourne G, Godden T. (2019). Advancing Implementation Frameworks with a Mixed Methods Multi-Case Study in Child Behavioral Health. Translational Behavioral Medicine, ibz005, https://doi.org/10.1093/tbm/ibz005
Barwick, M., Barac, R., & Zlotkin, S. (2015). Evaluation of effective implementation of exclusive breastfeeding in Ethiopia and Mali using the Consolidated Framework for Implementation Research. Canada: Hospital for Sick Children. http://melaniebarwick.com/wp-content/uploads/dlm_uploads/2019/02/EBF-Research-Report-FINAL-July-29-2015.pdf.
Bauer, M. S., Damschroder, L., Hagedorn, H., Smith, J., & Kilbourne, A. M. (2015). An introduction to implementation science for the non-specialist. BMC Psychology, 3(1), 1.
Boyd, M. R., Powell, B. J., Endicott, D., & Lewis, C. C. (2018). A method for tracking implementation strategies: An exemplar implementing measurement-based care in community behavioral health clinics. Behaviour Therapy, 49(4), 525–537.
Chaudoir, S. R., Dugan, A. G., & Barr, C. H. (2013). Measuring factors affecting implementation of health innovations: A systematic review of structural, organizational, provider, patient, and innovation level measures. Implementation Science, 8(1), 22.
Clancy, C. M. (2011). Patient engagement in health care. Health Services Research, 46(2), 389–393. https://doi.org/10.1111/j.1475-6773.2011.01254.x
Coffey, A., & Atkinson, P. (1996). Making sense of qualitative data, complementary research strategies. London, Thousand Oaks, CA and New Delhi: Sage Publications.
Curran, G. M., Bauer, M., Mittman, B., Pyne, J. M., & Stetler, C. (2012). Effectiveness-implementation hybrid designs: Combining elements of clinical effectiveness and implementation research to enhance public health impact. Medical Care, 50(3), 217–226. https://doi.org/10.1097/MLR.0b013e3182408812
Damschroder, J. L., & Lowery, J. C. (2013). Evaluation of a large-scale weight management program using the Consolidated Framework for Implementation Research (CFIR). Implementation Science, 8, 51.
Damschroder, L., Aron, D., Keith, R., Kirsh, S., Alexander, J., & Lowery, J. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4(1), 50.
Davidoff, F., Dixon-Woods, M., Leviton, L., & Michie, S. (2015). Demystifying theory and its use in improvement. BMJ Quality & Safety, 24, 228–238.
Denis, J.-L., Hébert, Y., Langley, A., Lozeau, D., & Trottier, L.-H. (2002). Explaining diffusion patterns for complex health care innovations. Health Care Management Review, 27, 60–73.
Department of Health United Kingdom. (2007). Improving access to psychological therapies. Retrieved from http://iapt.nhs.uk/silo/files/specification-for-the-commissionerled-pathfinder-programme.pdf
Feldstein, A. C., & Glasgow, R. E. (2008). A practical, robust implementation and sustainability model (PRISM) for integrating research findings into practice. The Joint Commission Journal on Quality and Patient Safety, 34(4), 228–243.
Forman, J., & Damschroder, L. J. (2008). Qualitative content analysis. In L. Jacoby & L. A. Siminoff (Eds.), Empirical methods for bioethics: A primer (pp. 39–62). Oxford, UK: Elsevier.
Foy, R., Ovretveit, J., Shekelle, P. G., Pronovost, P. J., Taylor, S. L., Dy, S., … Wachter, R. M. (2011). The role of theory in research to develop and evaluate the implementation of patient safety practices. Quality & Safety in Health Care, 20(5), 453–459. https://doi.org/10.1136/bmjqs.2010.047993. Epub 2011 Feb 11.
Government of Australia. (2001). Australian General Practice Network. National primary care initiative. Better outcomes in mental health care initiative. Retrieved from http://www.health.gov.au/internet/main/publishing.nsf/Content/mental-boimhc
Government of Ontario. (2011). Open minds, healthy minds: Ontario’s comprehensive mental health and addictions strategy. Retrieved from http://www.health.gov.on.ca/en/common/ministry/publications/reports/mental_health2011/mentalhealth_rep2011.pdf
Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Quarterly, 82, 581–629. https://doi.org/10.1111/j.0887-378X.2004.00325.x
Grol, R. P., Bosch, M. C., Hulscher, M. E., Eccles, M. P., & Wensing, M. (2007). Planning and studying improvement in patient care: The use of theoretical perspectives. The Milbank Quarterly, 85, 93–138.
Gustafson, D. H., Sainfort, F., Eichler, M., Adams, L., Bisognano, M., & Steudel, H. (2003). Developing and testing a model to predict outcomes of organizational change. Health Services Research, 38, 751–776. https://doi.org/10.1111/1475-6773.00143
Heath, C., & Heath, D. (2010). Switch: How to change things when change is hard. New York, NY: Broadway Books.
Helfrich, C. D., Weiner, B. J., McKinney, M. M., & Minasian, L. (2007). Determinants of implementation effectiveness: Adapting a framework for complex innovations. Medical Care Research and Review, 64(3), 279–303.
Kirk, M. A., Kelley, C., Yankey, N., Birken, S. A., Abadie, B., & Damschroder, L. (2016). A systematic review of the use of the consolidated framework for implementation research. Implementation Science, 11, 72. https://doi.org/10.1186/s13012-016-0437-z
Kiser, L., Blasé, K., & Fixsen, D. (2013). The hexagon tool: Exploring context. Chapel Hill, NC: The National Implementation Research Network. Retrieved 4 July 2016 from http://implementation.fpg.unc.edu/sites/implementation.fpg.unc.edu/files/resources/NIRN-Education-TheHexagonTool.pdf
Klein, K. J., Conn, A. B., & Sorra, J. S. (2001). Implementing computerized technology: An organizational analysis. The Journal of Applied Psychology, 86, 811–824.
Leeman, J., Birken, S. A., Powell, B. J., Rohweder, C., & Shea, C. M. (2017). Beyond “implementation strategies”: Classifying the full range of strategies used in implementation science and practice. Implementation Science, 12(1), 125. https://doi.org/10.1186/s13012-017-0657-x
Lewis, C., & Dorsey, C. (2020). Advancing implementation science measurement. In R. Mildon, B. Albers, & A. Shlonsky (Eds.), The Science of Implementation (pp.). Cham: Springer.
Lewis, C. C., Stanick, C. F., Martinez, R. G., Weiner, B. J., Kim, M., Barwick, M., & Comtois, K. A. (2015). The Society for Implementation Research Collaboration instrument review project: A methodology to promote rigorous evaluation. Implementation Science, 10, 2. https://doi.org/10.1186/s13012-014-0193-x
Lukas, C. V., Holmes, S. K., Cohen, A. B., Restuccia, J., Cramer, I. E., Shwartz, M., & Charns, M. P. (2007). Transformational change in health care systems: An organizational model. Health Care Management Review, 32, 309–320.
Martinez, R., Lewis, C., & Weiner, B. (2014). Instrumentation issues in implementation science. Implementation Science, 9(1), 118.
Mayring, P. (2000). Qualitative content analysis. Forum: Qualitative Social Research, 1.
McKibbon, K. A., Lokker, C., Wilczynski, N. L., Ciliska, D., Dobbins, M., Davis, D. A., … Straus, S. E. (2010). A cross-sectional study of the number and frequency of terms used to refer to knowledge translation in a body of health literature in 2006: A Tower of Babel? Implementation Science, 5, 16. https://doi.org/10.1186/1748-5908-5-16
Meyers, D. C., Durlak, J. A., & Wandersman, A. (2012). The quality implementation framework: A synthesis of critical steps in the implementation process. American Journal of Community Psychology, 50(3–4), 462–480. https://doi.org/10.1007/s10464-012-9522-x
Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis (2nd ed.). Thousand Oaks, CA: Sage Publications.
Mitchell, S. A., Fisher, C. A., Hastings, C. E., Silverman, L. B., & Wallen, G. R. (2010). A thematic analysis of theoretical models for translational science in nursing: Mapping the field. Nursing Outlook, 58(6), 287–300.
Moulin, J., Sabater-Hernandez, D., Fernandez-Llimos, F., & Benrimoj, S. (2015). A systematic review of implementation frameworks of innovations in healthcare and resulting generic implementation framework. Health Research Policy and Systems, 13(16). https://doi.org/10.1186/s12961-015-0005-z
New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health in America – Final report. Retrieved from http://govinfo.library.unt.edu/mentalhealthcommission/reports/FinalReport/downloads/FinalReport.pdf
Nilsen, P. (2015). Making sense of implementation theories, models and frameworks. Implementation Science, 10, 53.
Nilsen, P. (2020). Making sense of implementation theories, models, and frameworks. In R. Mildon, B. Albers, & A. Shlonsky (Eds.), The Science of Implementation (pp.). Cham: Springer.
Powell, B. J., Waltz, T. J., Chinman, M. J., Damschroder, L. J., Smith, J. L., Matthieu, M. M., … Kirchner, J. E. (2015). A refined compilation of implementation strategies: Results from the Expert Recommendations for Implementing Change (ERIC) project. Implementation Science, 10, 21. https://doi.org/10.1186/s13012-015-0209-1
Prost, A., Colbourn, T., Seward, N., Azad, K., Coomarasamy, A., Copas, A., … Costello, A. (2013). Women’s groups practising participatory learning and action to improve maternal and newborn health in low-resource settings: A systematic review and meta-analysis. Lancet, 381, 1736–1746.
Sales, A., Smith, J., Curran, G., & Kochevar, L. (2006). Models, strategies, and tools. Theory in implementing evidence-based findings into health care practice. Journal of General Internal Medicine, 21(Suppl 2), S43–S49.
Shojania, K. G., Jennings, A., Mayhew, A., Ramsay, C. R., Eccles, M. P., & Grimshaw, J. (2009). The effects of on-screen, point of care computer reminders on processes and outcomes of care. Cochrane Database Systematic Reviews, (3), CD001096.
Shortell, S. M., Marsteller, J. A., Lin, M., Pearson, M. L., Wu, S. Y., Mendel, P., … Rosen, M. (2004). The role of perceived team effectiveness in improving chronic illness care. Medical Care, 42(11), 1040–1048.
Tabak, R. G., Khoong, E. C., Chambers, D. A., & Brownson, R. C. (2012). Bridging research and practice: Models for dissemination and implementation research. American Journal of Preventive Medicine, 43(3), 337–350.
Van Achterberg, T., Schoonhoven, L., & Grol, R. (2008). Nursing implementation science: How evidence based nursing requires evidence based implementation. Journal of Nursing Scholarship, 40(4), 302–310.
Varsi, C., Ekstedt, M., Gammon, D., & Ruland, C. M. (2015). Using the consolidated framework for implementation research to identify barriers and facilitators for the implementation of an internet-based patient-provider communication service in five settings: A qualitative study. Journal of Medical Internet Research, 17(11), e262.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Barwick, M., Dubrowski, R., Damschroder, L. (2020). Factors Associated with Effective Implementation: Research and Practical Implications. In: Albers, B., Shlonsky, A., Mildon, R. (eds) Implementation Science 3.0. Springer, Cham. https://doi.org/10.1007/978-3-030-03874-8_4
Download citation
DOI: https://doi.org/10.1007/978-3-030-03874-8_4
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-03873-1
Online ISBN: 978-3-030-03874-8
eBook Packages: Social SciencesSocial Sciences (R0)