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Related Concept Videos

Impression Management Techniques III: Aligning Actions01:29

Impression Management Techniques III: Aligning Actions

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Aligning actions are communicative strategies individuals employ to maintain social harmony and preserve personal identity in the face of potential disruptions to social norms. These actions are particularly important in managing social impressions when one's behavior might be seen as inappropriate, incompetent, or morally questionable.Types of Aligning ActionsThe three principal types of aligning actions are disclaimers, accounts, and apologies.DisclaimersDisclaimers are preventive; they are...
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Methods of Documentation VI: Case Management Model01:15

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
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Metacognition01:26

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Metacognition is a conscious process where individuals are aware of their cognitive and executive processes, such as planning before solving a problem or self-monitoring during reading. For instance, a writer may need help with composing a piece. The situation involves a writer who is working on a piece of writing, but while doing so, they realize that something is missing. They notice that their characters lack depth or details. This realization occurs because the writer is reflecting on their...
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Strategies of Self-Presentation III: Self-Monitoring01:24

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Self-monitoring is a central construct in understanding individual differences in self-presentation strategies across social contexts. It refers to how individuals observe, regulate, and control their expressive behavior and self-presentation following situational cues. Self-monitoring reflects a person's sensitivity to social appropriateness and willingness to adapt behavior to fit varying interpersonal demands.High vs. Low Self-Monitoring IndividualsIndividuals high in self-monitoring are...
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Implementation is the execution of the nursing care plan developed during the planning phase.
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Related Experiment Video

Updated: Nov 1, 2025

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Strengthening methods for tracking adaptations and modifications to implementation strategies.

Amber D Haley1, Byron J Powell2, Callie Walsh-Bailey2

  • 1Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 1105C McGavran-Greenberg Hall, Chapel Hill, NC, 27599-7411, USA. ahaley@live.unc.edu.

BMC Medical Research Methodology
|June 27, 2021
PubMed
Summary

This study introduces new methods for tracking modifications to implementation strategies in healthcare. These methods help document how strategies change in practice, aiding replication and scale-up of effective interventions.

Keywords:
Implementation contextImplementation strategiesModification and adaptationReporting

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Area of Science:

  • Implementation Science
  • Healthcare Interventions
  • Strategy Adaptation

Background:

  • Effective implementation strategies require robust tracking and reporting.
  • Existing guidelines lack methods for describing in-practice strategy adaptations.
  • Novel methods are needed to track modifications to implementation strategies.

Purpose of the Study:

  • To develop and present novel methods for tracking modifications to implementation strategies.
  • To provide a framework for documenting how strategies are adapted during implementation.
  • To support the assessment and replication of effective implementation strategies.

Main Methods:

  • Developed methods within a stepped-wedge trial for social determinants of health activities.
  • Methods include describing planned strategies, tracking use, monitoring barriers, describing modifications, and identifying new strategies.
  • Utilized existing taxonomies and frameworks (e.g., Expert Recommendations for Implementing Change, Consolidated Framework for Implementation Research) and adapted them.

Main Results:

  • Presented three examples of method application: modifying facilitation strategy frequency, adding clinic-level workflows, and addressing previously encountered challenges.
  • Demonstrated the practical use of the developed methods in a real-world trial.
  • Highlighted the necessity of adapting strategies based on contextual factors and observed barriers.

Conclusions:

  • The presented methods build upon and extend existing implementation science frameworks.
  • While time-intensive, these methods are among the first to systematically track strategy modifications.
  • These methods can guide documentation of implementation strategies and modifications, supporting research and scale-up.