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Increasing Access to Organization Theories for Implementation Science.

Sarah A Birken1, Linda K Ko2, Mary Wangen3

  • 1Department of Implementation Science, Wake Forest School of Medicine, Winston-Salem, NC, United States.

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|March 17, 2023
PubMed
Summary
This summary is machine-generated.

Organization theories offer key insights into evidence-based intervention (EBI) implementation. This study identified nine relevant theories and 70 constructs to improve EBI adoption and sustainability in practice.

Keywords:
adoptionconstructsimplementationorganization theorypropositionssustainment

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Area of Science:

  • Implementation Science
  • Organizational Theory
  • Public Health Research

Background:

  • Organization theories provide explanations for evidence-based intervention (EBI) adoption, implementation, and sustainability.
  • These theories, focusing on power, autonomy, and control, are underutilized in implementation research due to accessibility challenges.
  • This work aims to bridge the gap by making organization theories more accessible to implementation scientists.

Purpose of the Study:

  • To identify and summarize organization theories relevant to implementation science.
  • To improve the accessibility and application of organization theories for enhancing EBI implementation.
  • To provide a framework for understanding organizational dynamics in EBI sustainability.

Main Methods:

  • A modified Delphi process involving 18 experts in organization and implementation science was used.
  • Standardized abstraction forms were employed to extract information on constructs and propositions from relevant organization theories.
  • Independent abstraction and reconciliation by investigators ensured accuracy and consensus on the identified theories and their components.

Main Results:

  • Nine organization theories were identified as relevant to implementation science.
  • Seventy constructs and 65 propositions were abstracted from these theories, offering potential levers for EBI implementation.
  • An example proposition from institutional theory illustrates how organizational pressures influence uniformity.

Conclusions:

  • Making organization theories more accessible is crucial for advancing implementation science.
  • Abstraction forms and frameworks are being developed and shared to facilitate the use of organization theories by researchers and practitioners.
  • Future work includes consolidating constructs and translating the framework for broader application in EBI implementation and policy.