[[050 - Implementation Science Index]] | [[Blog - What is Implementation Science]] [[Table of Implementation Strategies and Their Theoretical Underpinning]] 1. **CFIR (Consolidated Framework for Implementation Research)** [[CFIR]] • Provides a comprehensive framework to assess factors influencing implementation across five domains: intervention characteristics, outer setting, inner setting, characteristics of individuals, and process. 2. **RE-AIM Framework** [[Re-Aim]] • Focuses on five dimensions critical for evaluating health interventions: Reach, Effectiveness, Adoption, Implementation, and Maintenance. It helps assess the impact of interventions in real-world settings. 3. **Diffusion of Innovations Theory (Everett Rogers)** [[Diffusion of Innovation Theory]] • Explains how new ideas and technologies spread in a population. Identifies different categories of adopters (innovators, early adopters, early majority, late majority, laggards) and highlights the importance of engaging key influencers early. 4. **PARIHS Framework (Promoting Action on Research Implementation in Health Services)** [[PARIHS]] • Focuses on successful implementation as a function of three core elements: Evidence, Context, and Facilitation. It helps balance scientific evidence with the local context and the role of facilitators. 5. **Implementation Outcomes Framework** [[What is the Implementation Outcomes Framework]] • Developed by Proctor et al., this framework focuses on measuring implementation success through eight key outcomes: Acceptability, Adoption, Appropriateness, Feasibility, Fidelity, Implementation Cost, Penetration, and Sustainability. 6. **Stakeholder Theory** [[Stakeholder Theory]] • Emphasizes the importance of engaging all stakeholders (those who affect or are affected by the implementation). It helps ensure that their needs and perspectives are integrated, which improves the chances of success. 7. **Theory of Planned Behavior (Ajzen)** [[Theory of Reasoned Action and Planned Behavior]] • Explores how attitudes, subjective norms, and perceived behavioral control influence intentions and behavior. It’s useful for understanding how to change stakeholder behavior and encourage adoption. 8. **Social Cognitive Theory (Bandura)** [[Social Cognitive Theory]] • Focuses on how individuals learn from observing others, and the role of self-efficacy in behavior change. This theory is useful for designing interventions that rely on peer influence and observational learning. 9. **Normalization Process Theory (NPT)** [[Normalization Process Theory NPT]] • Helps understand the factors that influence whether an intervention becomes routinely embedded in clinical practice. It focuses on four constructs: coherence, cognitive participation, collective action, and reflexive monitoring. 10. **Behavior Change Wheel (Michie et al.)** • A comprehensive framework that links behavior change interventions to specific strategies. It integrates **COM-B (Capability, Opportunity, Motivation, Behavior)** as the core to understanding behavior change and intervention design. 11. **Stages of Change (Transtheoretical Model)** • Describes the stages individuals go through in adopting new behaviors: pre-contemplation, contemplation, preparation, action, and maintenance. Useful for tailoring strategies to individuals’ readiness for change. (I think related to [[Trans-Theoretical Therapy - Toward A more Integrative model of change]] in therapy) 12. **The PRECEDE-PROCEED Model** • A planning model for health programs that emphasizes the need to diagnose factors influencing health behavior before designing an intervention. It covers both assessment (PRECEDE) and implementation and evaluation (PROCEED). 13. [[TRIMI Framework]]