Article

Advancing the application, quality and harmonization of implementation science measures

Implementation Science (Impact Factor: 4.12). 12/2012; 7(1):119. DOI: 10.1186/1748-5908-7-119
Source: PubMed

ABSTRACT

Background
The field of implementation science (IS) encompasses a broad range of constructs and uses measures from a variety of disciplines. However, there has been little standardization of measures or agreement on definitions of constructs across different studies, fields, authors, or research groups.

Methods
We describe a collaborative, web-based activity using the United States National Cancer Institute’s (NCI) Grid-Enabled Measures (GEM) portal that uses a wiki platform to focus discussion and engage the research community to enhance the quality and harmonization of measures for IS health-related research and practice. We present the history, process, and preliminary data from the GEM Dissemination & Implementation (D&I) Campaign on IS measurement.

Results
The GEM D&I Campaign has been ongoing for eight weeks as of this writing, and has used a combination of expert opinion and crowd-sourcing approaches. To date it has listed definitions for 45 constructs and summarized information on 120 measures. Usage of the website peaked at a rate of 124 views from 89 visitors on week seven. Users from seven countries have contributed measures and/or constructs, shared experience in using different measures, contributed comments, and identified research gaps and needs.

Conclusion
Thus far, this campaign has provided information about different IS measures, their associated characteristics, and comments. The next step is to rate these measures for quality and practicality. This resource and ongoing activity have potential to advance the quality and harmonization of IS measures and constructs, and we invite readers to contribute to the process.

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Available from: Enola K Proctor, Aug 20, 2014
    • "Validating the implementation climate measure within the child welfare setting will further support the generalizability of the ICS and provide a useful tool that can be utilized to improve child welfare practice. It is also in line with the recent push by researchers in implementation science for the development and evaluation of measures related to EBP implementation (Rabin et al., 2012; Proctor, Powell, & Feely, 2014). "
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    • "Future studies should take care to integrate a wider range of implementation outcomes whenever possible, as they can serve as indicators of implementation success, proximal indicators of implementation processes, and key intermediate outcomes in relation to service system or clinical outcomes (Proctor et al., 2011). Efforts are underway to catalog and rate the quality of implementation related measures (Rabin et al., 2012) to promote the use of a wider array of valid and reliable instruments and serve to catalyze the development of new measures needed to advance the field. A promising finding of this review was that approximately two thirds (64%) of studies demonstrated beneficial effects of employing implementation strategies to improve intermediate and/or clinical outcomes over the comparison conditions. "
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