Methodology issues in implementation science. Med Care 2013 Apr;51(4 Suppl 2):S32-40
Date
04/26/2013Pubmed ID
23502915DOI
10.1097/MLR.0b013e31827feecaScopus ID
2-s2.0-84875187894 (requires institutional sign-in at Scopus site) 36 CitationsAbstract
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.
Author List
Newhouse R, Bobay K, Dykes PC, Stevens KR, Titler MAuthor
Kathleen Bobay PhD Associate Professor in the Nursing department at Marquette UniversityMESH terms used to index this publication - Major topics in bold
Accidental FallsCooperative Behavior
Counseling
Diffusion of Innovation
Evidence-Based Practice
Foundations
Humans
Nursing Staff
Organizational Innovation
Patient Care Team
Patient Discharge
Patient Readmission
Personnel Turnover
Quality Improvement
Randomized Controlled Trials as Topic
Research
Research Support as Topic
Risk Assessment
Smoking Cessation
United States
