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Measuring implementation: development of the implementation process assessment tool (IPAT).

M Hartveit1,2, E Hovlid3,4, M H A Nordin5

  • 1Department of Research and Innovation, Helse Fonna Local Health Authority, Haugesund, Norway. miriam.hartveit@helse-fonna.no.

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Summary
This summary is machine-generated.

A new 27-item Implementation Process Assessment Tool (IPAT) measures healthcare providers' perceptions of implementation efforts. The IPAT demonstrates high internal consistency and identifies key factors influencing change, aiding in tailored support for improved outcomes.

Keywords:
ImplementationQuality improvementReadiness

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Area of Science:

  • Implementation Science
  • Healthcare Management
  • Psychometrics

Background:

  • Existing implementation science frameworks lack comprehensive measurement tools.
  • A need exists for instruments assessing care providers' perspectives on implementation.
  • This study addresses the gap by developing and validating a new assessment tool.

Purpose of the Study:

  • To develop an instrument measuring care providers' perceptions of an implementation effort.
  • To explore the psychometric properties of the developed instrument.
  • To provide a tool for assessing factors influencing implementation success.

Main Methods:

  • A 27-item questionnaire, the Implementation Process Assessment Tool (IPAT), was designed based on existing literature.
  • Items covered individual and team factors, and stages of change in implementation.
  • The instrument was tested in a Norwegian study, with item analysis, factor structure, and internal consistency examined.

Main Results:

  • The IPAT showed high internal consistency (Cronbach's alpha: .962).
  • Four underlying constructs were identified: individual behavioral change, individual support, collective readiness, and intervention perception.
  • The tool revealed variation in scores, indicating diverse provider experiences.

Conclusions:

  • The IPAT is a feasible instrument for evaluating implementation processes from the provider's viewpoint.
  • It can help examine factors critical to implementation outcomes and inform tailored leadership support.
  • Further research is recommended to assess the IPAT's properties in different contexts and later implementation stages.