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Related Experiment Video

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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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Experiences of using the i-PARIHS framework: a co-designed case study of four multi-site implementation projects.

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BMC Health Services Research
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Summary

This study shows how healthcare teams operationalize the integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework. Findings highlight adapting existing tools and developing new ones for effective research implementation.

Keywords:
Co-designI-PARIHSImplementation frameworksImplementation scienceKnowledge translation

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Area of Science:

  • Health Services Research
  • Implementation Science

Background:

  • The integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework is a 20-year-old implementation model.
  • It emphasizes a flexible, responsive approach to complex healthcare research implementation.
  • Facilitation is central to i-PARIHS, supported by a Facilitation Guide and tools.

Purpose of the Study:

  • To explore how diverse implementation teams practically operationalize the i-PARIHS framework.
  • To understand the adaptation and development of tools used within the i-PARIHS framework.

Main Methods:

  • A multiple case study design involving four diverse implementation projects.
  • Co-design methodology was employed to gather team experiences.
  • Exploration of project setup, i-PARIHS utilization, and lessons learned.

Main Results:

  • All projects utilized the i-PARIHS Facilitation Checklist as a starting point.
  • Variations were observed in the execution of facilitation across projects.
  • Existing tools were adapted for different implementation phases (pre, during, post).
  • Project-specific tools were developed for monitoring implementation activities and fidelity.

Conclusions:

  • Current users operationalize i-PARIHS by adapting and developing tools.
  • The study validates existing i-PARIHS Facilitation Guide tools.
  • It suggests a future "Mi-PARIHS" resource suite with enhanced guidance for planning and fidelity monitoring.