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Selecting and tailoring implementation interventions: a concept mapping approach.

Elaine Yuen Ling Kwok1, Sheila T F Moodie2, Barbara Jane Cunningham3

  • 1School of Communication Sciences and Disorders, University of Western Ontario, Elborn College, 1201 Western Road, London, Ontario, N6G 1H1, Canada. ekwok5@uwo.ca.

BMC Health Services Research
|May 8, 2020
PubMed
Summary
This summary is machine-generated.

This study co-developed tailored implementation strategies for improving the use of an evidence-based tool in preschool speech and language programs. Concept mapping and stakeholder input identified effective strategies to overcome practice barriers.

Keywords:
Concept mappingImplementation interventionImplementation planningOutcome measurementPopulation outcomes; health outcomes; stakeholder engagementPractice-based researchSpeech-language pathologist

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Area of Science:

  • Knowledge Translation
  • Implementation Science
  • Health Services Research

Background:

  • Knowledge translation frameworks emphasize tailoring implementation strategies to address practice barriers.
  • This study focused on improving the implementation of an evidence-based outcome measurement tool for preschoolers with communication impairments.

Purpose of the Study:

  • To co-develop practice-informed strategies for implementing an evidence-based outcome measurement tool.
  • To tailor implementation strategies using the Theoretical Domains Framework and stakeholder input.

Main Methods:

  • Concept mapping was used to identify and prioritize implementation strategies.
  • Stakeholders including clinicians, policy-makers, and researchers participated in strategy development and validation.
  • The Theoretical Domains Framework and behavior change literature informed the strategy selection process.

Main Results:

  • Ninety unique implementation strategies were identified and categorized into a six-cluster concept map.
  • Fourteen highly important and feasible implementation strategies were prioritized.
  • Prioritized strategies addressed barriers related to environmental context, resources, and beliefs about consequences.

Conclusions:

  • Tailoring implementation strategies to specific barriers is crucial for effective knowledge translation.
  • Concept mapping is a valuable tool for engaging stakeholders in implementation research.
  • The study provides a model for developing practice-informed implementation strategies.