Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda

Enola Proctor, Hiie Silmere, Ramesh Raghavan, Peter Hovmand, Greg Aarons, Alicia Bunger, Richard Griffey, Melissa Hensley

    Research output: Contribution to journalArticle

    Abstract

    An unresolved issue in the field of implementation research is how to conceptualize and evaluate successful implementation. This paper advances the concept of "implementation outcomes" distinct from service system and clinical treatment outcomes. This paper proposes a heuristic, working "taxonomy" of eight conceptually distinct implementation outcomes-acceptability, adoption, appropriateness, feasibility, fidelity, implementation cost, penetration, and sustainability-along with their nominal definitions. We propose a two-pronged agenda for research on implementation outcomes. Conceptualizing and measuring implementation outcomes will advance understanding of implementation processes, enhance efficiency in implementation research, and pave the way for studies of the comparative effectiveness of implementation strategies.

    Original languageEnglish (US)
    Pages (from-to)65-76
    Number of pages12
    JournalAdministration and Policy in Mental Health and Mental Health Services Research
    Volume38
    Issue number2
    DOIs
    StatePublished - Mar 1 2011

    Fingerprint

    Outcome Assessment (Health Care)
    Research
    Efficiency
    Costs and Cost Analysis
    Heuristics

    Keywords

    • Evaluation
    • Implementation
    • Outcomes
    • Research methods

    ASJC Scopus subject areas

    • Phychiatric Mental Health
    • Health Policy
    • Public Health, Environmental and Occupational Health
    • Psychiatry and Mental health

    Cite this

    Outcomes for implementation research : Conceptual distinctions, measurement challenges, and research agenda. / Proctor, Enola; Silmere, Hiie; Raghavan, Ramesh; Hovmand, Peter; Aarons, Greg; Bunger, Alicia; Griffey, Richard; Hensley, Melissa.

    In: Administration and Policy in Mental Health and Mental Health Services Research, Vol. 38, No. 2, 01.03.2011, p. 65-76.

    Research output: Contribution to journalArticle

    Proctor, Enola ; Silmere, Hiie ; Raghavan, Ramesh ; Hovmand, Peter ; Aarons, Greg ; Bunger, Alicia ; Griffey, Richard ; Hensley, Melissa. / Outcomes for implementation research : Conceptual distinctions, measurement challenges, and research agenda. In: Administration and Policy in Mental Health and Mental Health Services Research. 2011 ; Vol. 38, No. 2. pp. 65-76.
    @article{6a6e278907d048528a0228cc25a8ebea,
    title = "Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda",
    abstract = "An unresolved issue in the field of implementation research is how to conceptualize and evaluate successful implementation. This paper advances the concept of {"}implementation outcomes{"} distinct from service system and clinical treatment outcomes. This paper proposes a heuristic, working {"}taxonomy{"} of eight conceptually distinct implementation outcomes-acceptability, adoption, appropriateness, feasibility, fidelity, implementation cost, penetration, and sustainability-along with their nominal definitions. We propose a two-pronged agenda for research on implementation outcomes. Conceptualizing and measuring implementation outcomes will advance understanding of implementation processes, enhance efficiency in implementation research, and pave the way for studies of the comparative effectiveness of implementation strategies.",
    keywords = "Evaluation, Implementation, Outcomes, Research methods",
    author = "Enola Proctor and Hiie Silmere and Ramesh Raghavan and Peter Hovmand and Greg Aarons and Alicia Bunger and Richard Griffey and Melissa Hensley",
    year = "2011",
    month = "3",
    day = "1",
    doi = "10.1007/s10488-010-0319-7",
    language = "English (US)",
    volume = "38",
    pages = "65--76",
    journal = "Administration and Policy in Mental Health and Mental Health Services Research",
    issn = "0894-587X",
    publisher = "Springer New York",
    number = "2",

    }

    TY - JOUR

    T1 - Outcomes for implementation research

    T2 - Conceptual distinctions, measurement challenges, and research agenda

    AU - Proctor, Enola

    AU - Silmere, Hiie

    AU - Raghavan, Ramesh

    AU - Hovmand, Peter

    AU - Aarons, Greg

    AU - Bunger, Alicia

    AU - Griffey, Richard

    AU - Hensley, Melissa

    PY - 2011/3/1

    Y1 - 2011/3/1

    N2 - An unresolved issue in the field of implementation research is how to conceptualize and evaluate successful implementation. This paper advances the concept of "implementation outcomes" distinct from service system and clinical treatment outcomes. This paper proposes a heuristic, working "taxonomy" of eight conceptually distinct implementation outcomes-acceptability, adoption, appropriateness, feasibility, fidelity, implementation cost, penetration, and sustainability-along with their nominal definitions. We propose a two-pronged agenda for research on implementation outcomes. Conceptualizing and measuring implementation outcomes will advance understanding of implementation processes, enhance efficiency in implementation research, and pave the way for studies of the comparative effectiveness of implementation strategies.

    AB - An unresolved issue in the field of implementation research is how to conceptualize and evaluate successful implementation. This paper advances the concept of "implementation outcomes" distinct from service system and clinical treatment outcomes. This paper proposes a heuristic, working "taxonomy" of eight conceptually distinct implementation outcomes-acceptability, adoption, appropriateness, feasibility, fidelity, implementation cost, penetration, and sustainability-along with their nominal definitions. We propose a two-pronged agenda for research on implementation outcomes. Conceptualizing and measuring implementation outcomes will advance understanding of implementation processes, enhance efficiency in implementation research, and pave the way for studies of the comparative effectiveness of implementation strategies.

    KW - Evaluation

    KW - Implementation

    KW - Outcomes

    KW - Research methods

    UR - http://www.scopus.com/inward/record.url?scp=79956149639&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=79956149639&partnerID=8YFLogxK

    U2 - 10.1007/s10488-010-0319-7

    DO - 10.1007/s10488-010-0319-7

    M3 - Article

    VL - 38

    SP - 65

    EP - 76

    JO - Administration and Policy in Mental Health and Mental Health Services Research

    JF - Administration and Policy in Mental Health and Mental Health Services Research

    SN - 0894-587X

    IS - 2

    ER -