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The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

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Evaluation of a large-scale weight management program using the consolidated framework for implementation research

Laura J Damschroder¹, Julie C Lowery

¹HSR&D Center for Clinical Management Research, VA Ann Arbor Healthcare System (152), Ann Arbor, MI 48105, USA. Laura.Damschroder@va.gov

Implementation Science : IS

|May 14, 2013

Summary

The MOVE!(®) weight management program

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Area of Science:

Implementation science
Health services research
Public health

Background:

Overweight and obesity are prevalent among US adults, particularly Veterans.
The Veterans Affairs (VA) nationalized the MOVE!(®) weight management program to address this issue.
Significant variation exists in the program's implementation across VA facilities.

Purpose of the Study:

To identify factors influencing the variability in MOVE!(®) program implementation.
To demonstrate a theory-based approach for analyzing qualitative implementation data.

Main Methods:

Qualitative study involving interviews with 24 stakeholders across five diverse VA facilities.
Utilized the Consolidated Framework for Implementation Research (CFIR) to guide data collection and analysis.
Employed cross-case comparison to identify key implementation drivers.

Main Results:

Ten of 31 assessed CFIR constructs significantly differentiated high vs. low implementation effectiveness.
Inner setting constructs (e.g., leadership engagement, networks) were most influential.
Other key constructs included relative advantage, patient needs, and process factors like execution and reflection.

Conclusions:

The inner setting of healthcare facilities significantly impacts weight management program success.
The CFIR provides a robust framework for analyzing qualitative implementation data.
This approach facilitates cross-study comparisons and refinement of implementation strategies.