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Development of an integrative coding framework for evaluating context within implementation science.

L Rogers1, A De Brún2, E McAuliffe2

  • 1University College Dublin Centre for Interdisciplinary Research, Education and Innovation in Health Systems (UCD IRIS), UCD School of Nursing, Midwifery and Health Systems, Dublin 4, Ireland. lisa.rogers@ucdconnect.ie.

BMC Medical Research Methodology
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Summary

This study introduces a new context coding framework to improve implementation science methodology. The framework helps researchers systematically assess context, enhancing the understanding and success of health system implementations.

Keywords:
ContextContextual factorsEvaluationHealthcareImplementation science

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Area of Science:

  • Implementation Science
  • Health Systems Research
  • Methodology Development

Background:

  • Context is a critical factor influencing implementation success in healthcare.
  • Existing literature lacks standardized methods for assessing context in implementation research.
  • Poor understanding and reporting of context hinder effective implementation strategies.

Purpose of the Study:

  • To address the methodological gap in assessing context within implementation science.
  • To develop and demonstrate a novel context coding framework for implementation research.
  • To provide guidance for accounting for the active role of context in implementation.

Main Methods:

  • Developed a context coding framework guided by the Consolidated Framework for Implementation Research (CFIR).
  • Employed a constructivist approach to explore context across multiple health system levels.
  • Integrated a rating criterion to assess the influence of contextual factors and collated diverse data sources.

Main Results:

  • The framework facilitates a standardized approach to context assessment in implementation research.
  • It enhances understanding of context's influence, guiding strategy selection and monitoring.
  • The framework allows for monitoring implementation progress and contextual variations across healthcare settings.

Conclusions:

  • This research advances methodologies for context assessment in implementation science.
  • The developed context coding framework offers insights into contextual characteristics.
  • The framework is adaptable for use in diverse settings to improve implementation processes.