Development of an Implementation Process Model: a Delphi study
Abstract Background There is general scarcity of research on key elements of implementation processes and the factors which impact implementation success. Implementation of healthcare interventions is a complex process. Tools to support implementation can facilitate this process and improve effectiv...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-06-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-021-06501-5 |
| _version_ | 1831759439615492096 |
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| author | Gillian Parker Monika Kastner Karen Born Whitney Berta |
| author_facet | Gillian Parker Monika Kastner Karen Born Whitney Berta |
| author_sort | Gillian Parker |
| collection | DOAJ |
| description | Abstract Background There is general scarcity of research on key elements of implementation processes and the factors which impact implementation success. Implementation of healthcare interventions is a complex process. Tools to support implementation can facilitate this process and improve effectiveness of the interventions and clinical outcomes. Understanding the impact of implementation support tools is a critical aspect of this process. The objective of this study was to solicit knowledge and agreement from relevant implementation science and knowledge translation healthcare experts in order to develop a process model of key elements in the implementation process. Methods A two round, modified Delphi study involving international experts in knowledge translation and implementation (researchers, scientists, professors, decision-makers) was conducted. Participants rated and commented on all aspects of the process model, including the organization, content, scope, and structure. Delphi questions rated at 75% agreement or lower were reviewed and revised. Qualitative comments supported the restructuring and refinement. A second-round survey followed the same process as Round 1. Results Fifty-four experts participated in Round 1, and 32 experts participated in Round 2. Twelve percent (n = 6) of the Round 1 questions did not reach agreement. Key themes for revision and refinement were: stakeholder engagement throughout the process, iterative nature of the implementation process; importance of context; and importance of using guiding theories or frameworks. The process model was revised and refined based on the quantitative and qualitative data and reassessed by the experts in Round 2. Agreement was achieved on all items in Round 2 and the Delphi concluded. Additional feedback was obtained regarding terminology, target users and definition of the implementation process. Conclusions High levels of agreement were attained for all sub-domains, elements, and sub-elements of the Implementation Process Model. This model will be used to develop an Implementation Support Tool to be used by healthcare providers to facilitate effective implementation and improved clinical outcomes. |
| first_indexed | 2024-12-22T01:07:29Z |
| format | Article |
| id | doaj.art-65748d0d57fe4af781438baec2649570 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-22T01:07:29Z |
| publishDate | 2021-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-65748d0d57fe4af781438baec26495702022-12-21T18:44:03ZengBMCBMC Health Services Research1472-69632021-06-0121111210.1186/s12913-021-06501-5Development of an Implementation Process Model: a Delphi studyGillian Parker0Monika Kastner1Karen Born2Whitney Berta3Institute for Health Policy, Management and Evaluation, University of TorontoInstitute for Health Policy, Management and Evaluation, University of TorontoInstitute for Health Policy, Management and Evaluation, University of TorontoInstitute for Health Policy, Management and Evaluation, University of TorontoAbstract Background There is general scarcity of research on key elements of implementation processes and the factors which impact implementation success. Implementation of healthcare interventions is a complex process. Tools to support implementation can facilitate this process and improve effectiveness of the interventions and clinical outcomes. Understanding the impact of implementation support tools is a critical aspect of this process. The objective of this study was to solicit knowledge and agreement from relevant implementation science and knowledge translation healthcare experts in order to develop a process model of key elements in the implementation process. Methods A two round, modified Delphi study involving international experts in knowledge translation and implementation (researchers, scientists, professors, decision-makers) was conducted. Participants rated and commented on all aspects of the process model, including the organization, content, scope, and structure. Delphi questions rated at 75% agreement or lower were reviewed and revised. Qualitative comments supported the restructuring and refinement. A second-round survey followed the same process as Round 1. Results Fifty-four experts participated in Round 1, and 32 experts participated in Round 2. Twelve percent (n = 6) of the Round 1 questions did not reach agreement. Key themes for revision and refinement were: stakeholder engagement throughout the process, iterative nature of the implementation process; importance of context; and importance of using guiding theories or frameworks. The process model was revised and refined based on the quantitative and qualitative data and reassessed by the experts in Round 2. Agreement was achieved on all items in Round 2 and the Delphi concluded. Additional feedback was obtained regarding terminology, target users and definition of the implementation process. Conclusions High levels of agreement were attained for all sub-domains, elements, and sub-elements of the Implementation Process Model. This model will be used to develop an Implementation Support Tool to be used by healthcare providers to facilitate effective implementation and improved clinical outcomes.https://doi.org/10.1186/s12913-021-06501-5DelphiImplementationProcessModelEvidence-basedHealth services research |
| spellingShingle | Gillian Parker Monika Kastner Karen Born Whitney Berta Development of an Implementation Process Model: a Delphi study BMC Health Services Research Delphi Implementation Process Model Evidence-based Health services research |
| title | Development of an Implementation Process Model: a Delphi study |
| title_full | Development of an Implementation Process Model: a Delphi study |
| title_fullStr | Development of an Implementation Process Model: a Delphi study |
| title_full_unstemmed | Development of an Implementation Process Model: a Delphi study |
| title_short | Development of an Implementation Process Model: a Delphi study |
| title_sort | development of an implementation process model a delphi study |
| topic | Delphi Implementation Process Model Evidence-based Health services research |
| url | https://doi.org/10.1186/s12913-021-06501-5 |
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