The Balance Between Adaptation and Fidelity

Whenever you are implementing an intervention, there will always be the battle between fidelity and adaptation.  Depending on the environment you are in, there might need to be certain changes to your implementation strategy. However, one must be cautious to not corrupt the theoretical basis of an intervention. If an intervention is deployed incorrectly because […]

How to Become a Leader in Implementation Science

Implementation science helps move healthcare research into practice. The field needs exceptional implementation leaders to drive change and implement new strategies. Leadership is a critical construct of various theoretical implementation frameworks, such as the Consolidated Framework for Implementation Research (CFIR). The article, iLead- A Transformational Leadership Intervention to Train Healthcare Managers’ Implementation Leadership describes how […]

Theoretical Approaches in Implementation Science

Implementation science uses a multitude of frameworks, with theories borrowed from psychology, sociology, and organizational theory. The increased use of frameworks and theoretical models provides researchers with a better understanding about why implementation science succeeds or fails. These approaches aim to evaluate the process of implementation, explain what influences outcomes, and guide the movement from […]

An Introduction to Implementation Science

Implementation science is a relatively new field to researchers in health care, yet shares many commonalities with quality improvement and dissemination science. As Bauer states in the article An Introduction to Implementation Science for the Non-Specialist, implementation science is “the scientific study of methods to promote the systematic uptake of research findings and other Evidence Based Practices […]

Implementation Science Used to Decrease Mother-to-Child HIV Transmission

Implementation science is used in various contexts around the world. Recently, the NIH led an effort to reduce mother-to-child HIV transmission in Nigeria through implementation science efforts. Various approaches were studied with the goal to integrate research findings and evidence-based practices into health care services. Researchers and policymakers from both the United States and Africa were part […]

CIIS Attends the 2016 Annual Research Meeting for Academy Health

This year’s three-day Academy Health Conference was an opportunity for health services researchers to connect and learn new skills and concepts. Various lectures focused on methods that can be applied in studying the implementation of interventions (e.g., social network analysis). Other presentations described how to evaluate and improve interventions and which implementation strategies to use to […]

RE-AIM Framework Used in PTSD Study

Implementation science uses a variety of theoretical frameworks to help design interventions. The Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework encourages program planners  to pay attention to the various elements of a program in order to sustain the implementation of an effective intervention. RE-AIM begins by helping researchers define their target population. This framework then looks […]

Promoting the Use of the Consolidated Framework for Implementation Research (CFIR)

The Consolidated Framework for Implementation Research (CFIR) is used frequently in implementation research. This framework assesses both potential barriers and facilitators to implementing an intervention successfully. The evaluation of projects focuses on intervention characteristics, outer setting such as peer pressure and patient needs, inner setting such as culture and implementation climate, individual characteristics, and process. The […]

Using implementation plans in WHO guidelines

Implementation plans are created through evidence-based techniques that are proven to be effective. These plans can lead researchers to solve complex problems in healthcare all over the world. The World Health Organization (WHO) has adopted some implementation plans into its guidelines for recommendations for clinical practice and public health. The WHO guidelines are followed by many to […]

Operational research joins implementation science

Thomas Monk (2016) describes how operational research (OR) and implementation science can be woven together to achieve a common goal-to solve problems. In healthcare, we utilize both methods to find solutions, such as how to reduce hospital readmissions or how to decrease patient wait times.  Although operations and implementation work toward a common goal, they each take […]