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Repeated measures of implementation variables

It is commonly acknowledged that implementation work is long-term and contextual in nature and often takes years to accomplish. Repeated measures are needed to study the trajectory of implementation variables over time. To be useful in typical practice settings, measures that are relevant, sensitive...

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Autores principales: Fixsen, Dean L., Van Dyke, Melissa K., Blase, Karen A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012800/
https://www.ncbi.nlm.nih.gov/pubmed/36926497
http://dx.doi.org/10.3389/frhs.2023.1085859
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author Fixsen, Dean L.
Van Dyke, Melissa K.
Blase, Karen A.
author_facet Fixsen, Dean L.
Van Dyke, Melissa K.
Blase, Karen A.
author_sort Fixsen, Dean L.
collection PubMed
description It is commonly acknowledged that implementation work is long-term and contextual in nature and often takes years to accomplish. Repeated measures are needed to study the trajectory of implementation variables over time. To be useful in typical practice settings, measures that are relevant, sensitive, consequential, and practical are needed to inform planning and action. If implementation independent variables and implementation dependent variables are to contribute to a science of implementation, then measures that meet these criteria must be established. This exploratory review was undertaken to “see what is being done” to evaluate implementation variables and processes repeatedly in situations where achieving outcomes was the goal (i.e., more likely to be consequential). No judgement was made about the adequacy of the measure (e.g., psychometric properties) in the review. The search process resulted in 32 articles that met the criteria for a repeated measure of an implementation variable. 23 different implementation variables were the subject of repeated measures. The broad spectrum of implementation variables identified in the review included innovation fidelity, sustainability, organization change, and scaling along with training, implementation teams, and implementation fidelity. Given the long-term complexities involved in providing implementation supports to achieve the full and effective use of innovations, repeated measurements of relevant variables are needed to promote a more complete understanding of implementation processes and outcomes. Longitudinal studies employing repeated measures that are relevant, sensitive, consequential, and practical should become common if the complexities involved in implementation are to be understood.
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spelling pubmed-100128002023-03-15 Repeated measures of implementation variables Fixsen, Dean L. Van Dyke, Melissa K. Blase, Karen A. Front Health Serv Health Services It is commonly acknowledged that implementation work is long-term and contextual in nature and often takes years to accomplish. Repeated measures are needed to study the trajectory of implementation variables over time. To be useful in typical practice settings, measures that are relevant, sensitive, consequential, and practical are needed to inform planning and action. If implementation independent variables and implementation dependent variables are to contribute to a science of implementation, then measures that meet these criteria must be established. This exploratory review was undertaken to “see what is being done” to evaluate implementation variables and processes repeatedly in situations where achieving outcomes was the goal (i.e., more likely to be consequential). No judgement was made about the adequacy of the measure (e.g., psychometric properties) in the review. The search process resulted in 32 articles that met the criteria for a repeated measure of an implementation variable. 23 different implementation variables were the subject of repeated measures. The broad spectrum of implementation variables identified in the review included innovation fidelity, sustainability, organization change, and scaling along with training, implementation teams, and implementation fidelity. Given the long-term complexities involved in providing implementation supports to achieve the full and effective use of innovations, repeated measurements of relevant variables are needed to promote a more complete understanding of implementation processes and outcomes. Longitudinal studies employing repeated measures that are relevant, sensitive, consequential, and practical should become common if the complexities involved in implementation are to be understood. Frontiers Media S.A. 2023-03-07 /pmc/articles/PMC10012800/ /pubmed/36926497 http://dx.doi.org/10.3389/frhs.2023.1085859 Text en © 2023 Fixsen, Van Dyke and Blase. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Health Services
Fixsen, Dean L.
Van Dyke, Melissa K.
Blase, Karen A.
Repeated measures of implementation variables
title Repeated measures of implementation variables
title_full Repeated measures of implementation variables
title_fullStr Repeated measures of implementation variables
title_full_unstemmed Repeated measures of implementation variables
title_short Repeated measures of implementation variables
title_sort repeated measures of implementation variables
topic Health Services
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012800/
https://www.ncbi.nlm.nih.gov/pubmed/36926497
http://dx.doi.org/10.3389/frhs.2023.1085859
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