The Implementation Playbook: study protocol for the development and feasibility evaluation of a digital tool for effective implementation of evidence-based innovations
Abstract Background Evidence-based innovations can improve health outcomes, but only if successfully implemented. Implementation can be complex, highly susceptible to failure, costly and resource intensive. Internationally, there is an urgent need to improve the implementation of effective innovatio...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-03-01
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| Series: | Implementation Science Communications |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43058-023-00402-w |
| _version_ | 1797864555141922816 |
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| author | Melanie Barwick Jacquie Brown Kadia Petricca Bonnie Stevens Byron J. Powell Alexia Jaouich Jill Shakespeare Emily Seto |
| author_facet | Melanie Barwick Jacquie Brown Kadia Petricca Bonnie Stevens Byron J. Powell Alexia Jaouich Jill Shakespeare Emily Seto |
| author_sort | Melanie Barwick |
| collection | DOAJ |
| description | Abstract Background Evidence-based innovations can improve health outcomes, but only if successfully implemented. Implementation can be complex, highly susceptible to failure, costly and resource intensive. Internationally, there is an urgent need to improve the implementation of effective innovations. Successful implementation is best guided by implementation science, but organizations lack implementation know-how and have difficulty applying it. Implementation support is typically shared in static, non-interactive, overly academic guides and is rarely evaluated. In-person implementation facilitation is often soft-funded, costly, and scarce. This study seeks to improve effective implementation by (1) developing a first-in-kind digital tool to guide pragmatic, empirically based and self-directed implementation planning in real-time; and (2) exploring the tool’s feasibility in six health organizations implementing different innovations. Methods Ideation emerged from a paper-based resource, The Implementation Game©, and a revision called The Implementation Roadmap©; both integrate core implementation components from evidence, models and frameworks to guide structured, explicit, and pragmatic planning. Prior funding also generated user personas and high-level product requirements. This study will design, develop, and evaluate the feasibility of a digital tool called The Implementation Playbook©. In Phase 1, user-centred design and usability testing will inform tool content, visual interface, and functions to produce a minimum viable product. Phase 2 will explore the Playbook’s feasibility in six purposefully selected health organizations sampled for maximum variation. Organizations will use the Playbook for up to 24 months to implement an innovation of their choosing. Mixed methods will gather: (i) field notes from implementation team check-in meetings; (ii) interviews with implementation teams about their experience using the tool; (iii) user free-form content entered into the tool as teams work through implementation planning; (iv) Organizational Readiness for Implementing Change questionnaire; (v) System Usability Scale; and (vi) tool metrics on how users progressed through activities and the time required to do so. Discussion Effective implementation of evidence-based innovations is essential for optimal health. We seek to develop a prototype digital tool and demonstrate its feasibility and usefulness across organizations implementing different innovations. This technology could fill a significant need globally, be highly scalable, and potentially valid for diverse organizations implementing various innovations. |
| first_indexed | 2024-04-09T22:53:47Z |
| format | Article |
| id | doaj.art-4fa51922b4914941876f77fdd40c5f20 |
| institution | Directory Open Access Journal |
| issn | 2662-2211 |
| language | English |
| last_indexed | 2024-04-09T22:53:47Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Implementation Science Communications |
| spelling | doaj.art-4fa51922b4914941876f77fdd40c5f202023-03-22T11:21:55ZengBMCImplementation Science Communications2662-22112023-03-014111110.1186/s43058-023-00402-wThe Implementation Playbook: study protocol for the development and feasibility evaluation of a digital tool for effective implementation of evidence-based innovationsMelanie Barwick0Jacquie Brown1Kadia Petricca2Bonnie Stevens3Byron J. Powell4Alexia Jaouich5Jill Shakespeare6Emily Seto7Research Institute, The Hospital for Sick ChildrenJacquie Brown and AssociatesResearch Institute, The Hospital for Sick ChildrenResearch Institute, The Hospital for Sick ChildrenCenter for Mental Health Services Research, Brown School, Washington University in St LouisStepped Care SolutionsProvincial System Support Program, Centre for Addiction and Mental HealthInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of TorontoAbstract Background Evidence-based innovations can improve health outcomes, but only if successfully implemented. Implementation can be complex, highly susceptible to failure, costly and resource intensive. Internationally, there is an urgent need to improve the implementation of effective innovations. Successful implementation is best guided by implementation science, but organizations lack implementation know-how and have difficulty applying it. Implementation support is typically shared in static, non-interactive, overly academic guides and is rarely evaluated. In-person implementation facilitation is often soft-funded, costly, and scarce. This study seeks to improve effective implementation by (1) developing a first-in-kind digital tool to guide pragmatic, empirically based and self-directed implementation planning in real-time; and (2) exploring the tool’s feasibility in six health organizations implementing different innovations. Methods Ideation emerged from a paper-based resource, The Implementation Game©, and a revision called The Implementation Roadmap©; both integrate core implementation components from evidence, models and frameworks to guide structured, explicit, and pragmatic planning. Prior funding also generated user personas and high-level product requirements. This study will design, develop, and evaluate the feasibility of a digital tool called The Implementation Playbook©. In Phase 1, user-centred design and usability testing will inform tool content, visual interface, and functions to produce a minimum viable product. Phase 2 will explore the Playbook’s feasibility in six purposefully selected health organizations sampled for maximum variation. Organizations will use the Playbook for up to 24 months to implement an innovation of their choosing. Mixed methods will gather: (i) field notes from implementation team check-in meetings; (ii) interviews with implementation teams about their experience using the tool; (iii) user free-form content entered into the tool as teams work through implementation planning; (iv) Organizational Readiness for Implementing Change questionnaire; (v) System Usability Scale; and (vi) tool metrics on how users progressed through activities and the time required to do so. Discussion Effective implementation of evidence-based innovations is essential for optimal health. We seek to develop a prototype digital tool and demonstrate its feasibility and usefulness across organizations implementing different innovations. This technology could fill a significant need globally, be highly scalable, and potentially valid for diverse organizations implementing various innovations.https://doi.org/10.1186/s43058-023-00402-weHealth technologyImplementation scienceImplementation facilitationDigital tools |
| spellingShingle | Melanie Barwick Jacquie Brown Kadia Petricca Bonnie Stevens Byron J. Powell Alexia Jaouich Jill Shakespeare Emily Seto The Implementation Playbook: study protocol for the development and feasibility evaluation of a digital tool for effective implementation of evidence-based innovations Implementation Science Communications eHealth technology Implementation science Implementation facilitation Digital tools |
| title | The Implementation Playbook: study protocol for the development and feasibility evaluation of a digital tool for effective implementation of evidence-based innovations |
| title_full | The Implementation Playbook: study protocol for the development and feasibility evaluation of a digital tool for effective implementation of evidence-based innovations |
| title_fullStr | The Implementation Playbook: study protocol for the development and feasibility evaluation of a digital tool for effective implementation of evidence-based innovations |
| title_full_unstemmed | The Implementation Playbook: study protocol for the development and feasibility evaluation of a digital tool for effective implementation of evidence-based innovations |
| title_short | The Implementation Playbook: study protocol for the development and feasibility evaluation of a digital tool for effective implementation of evidence-based innovations |
| title_sort | implementation playbook study protocol for the development and feasibility evaluation of a digital tool for effective implementation of evidence based innovations |
| topic | eHealth technology Implementation science Implementation facilitation Digital tools |
| url | https://doi.org/10.1186/s43058-023-00402-w |
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