Getting a clinical innovation into practice: An introduction to implementation strategies. (January 2020)

• Record Type: Journal Article
• Authors: Kirchner, JoAnn E.; Smith, Jeffrey L.; Powell, Byron J.; Waltz, Thomas J.; Proctor, Enola K.
• Is Part Of: Psychiatry research. Volume 283(2020)
• Publication Date: 2020-01
• Subjects: Psychiatry -- Periodicals; Psychiatry -- periodicals; Psychiatrie -- Périodiques; 616.89
• DOI: 10.1016/j.psychres.2019.06.042
• Languages: English
• ISSNs: 0165-1781

Abstract

Highlights: The application of theory-based implementation strategies can improve the uptake of clinical innovations. Testing the effectiveness of implementation strategies is a focus of implementation research studies. Early identification and documentation of effective implementation strategies during the development and study of a clinical innovation can improve uptake into healthcare settings. Abstract: Just as there is a robust science that supports development and rigorous testing of clinical innovations, the emerging field of implementation science is developing new theory-based knowledge regarding a growing portfolio of meticulously tested implementation strategies that seek to improve uptake of evidence-based practices by targeting barriers at multiple levels within health care settings. Studying and documenting implementation strategies associated with uptake during the development and trial of a clinical innovation could subsequently position the researcher for a more seamless transition and handoff of the innovation to clinical and operational leaders. The objective of this manuscript is to introduce the concept of implementation strategies: what they are; the rigor with which they are defined and applied to address barriers to clinical innovation adoption; how strategy selection may vary based on contextual, innovation, and recipient factors; how to document the application of strategies over the course of an implementation study; and how testing their effectiveness is the focus of implementation research trials.