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Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and
Alison L Kitson1, Jo Rycroft-Malone, Gill Harvey
1Green College, University of Oxford, Woodstock Road, Oxford OX2 6HG, UK. alk23@btinternet.com
Implementation Science : IS
|January 9, 2008
Summary
The Promoting Action on Research Implementation in Health Services (PARiHS) framework needs further testing. Future work proposes a two-stage approach to tailor interventions for better knowledge translation in implementation science.
Area of Science:
- Implementation Science
- Knowledge Translation
- Health Services Research
Background:
- The Promoting Action on Research Implementation in Health Services (PARiHS) framework is a widely used heuristic for research and knowledge translation.
- However, the PARiHS framework remains largely untested, limiting its contribution to implementation science theory development.
Purpose of the Study:
- To refine theoretical and methodological approaches in knowledge translation.
- To introduce a typology distinguishing between conceptual framework, theory, and model.
- To propose a two-stage process for utilizing the PARiHS framework.
Main Methods:
- Conceptual analysis and mapping to generate hypotheses.
- Development of a typology from social policy analysis.
- Planning for a two-stage diagnostic and evaluative approach for the PARiHS framework.
Main Results:
- A hypothesis that the PARiHS framework is best used as a two-stage process: diagnostic/evaluative measure of evidence and context, followed by determining facilitation methods.
- The intervention's nature is determined by specific actors, context, time, and place.
- Consideration of wider issues in using theories for research, developing measures, and facilitation.
Conclusions:
- The PARiHS framework should be developed into a two-stage diagnostic and evaluative approach, with interventions shaped by stakeholder-gathered information.
- Suggests forming an international collaborative to test the PARiHS framework and similar approaches.
- Recommends refining definitions of conceptual framework, theory, and model, encouraging broader epistemological and ontological discussions.
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