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Related Experiment Video

Updated: Aug 1, 2025

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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A pilot study comparing tools for tracking implementation strategies and treatment adaptations.

Callie Walsh-Bailey1,2, Lorella G Palazzo1, Salene Mw Jones3

  • 1Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA.

Implementation Research and Practice
|April 24, 2023
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Summary

New tools were developed to track implementation strategies and treatment adaptations for evidence-based practices. These pragmatic measures aim to improve the prospective tailoring and effectiveness of interventions in local contexts.

Keywords:
Implementation strategytailoringtrackingtreatment adaptation

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Area of Science:

  • Implementation Science
  • Health Services Research
  • Intervention Adaptation

Background:

  • Tailoring implementation strategies and adapting treatments to local contexts can enhance effectiveness.
  • A need exists for valid, reliable measures to prospectively track strategies and adaptations.
  • This study addresses the gap by developing and pilot-testing three tracking tools.

Purpose of the Study:

  • To develop and pilot-test three pragmatic tools for tracking implementation strategies and treatment adaptations.
  • To assess the acceptability, appropriateness, and feasibility of the developed tools.
  • To inform prospective tailoring of strategies and adaptations for improved intervention scale-out and spread.

Main Methods:

  • Measure development informed by systematic reviews of implementation strategies and treatment adaptation literature.
  • Three tools (brainstorming log, activity log, detailed tracking log) were developed with varying structure.
  • Stakeholders (treatment developers, implementation practitioners, mental health providers) used tools weekly via web surveys; qualitative interviews were also conducted.

Main Results:

  • The three tracking tools showed moderate to good acceptability, appropriateness, and feasibility.
  • The activity log was identified as the most feasible tool.
  • Implementation practitioners rated the tools highest; completion time averaged 15 minutes or less.

Conclusions:

  • The developed tools can help discern effective implementation strategies and target specific barriers.
  • These tools support prospective tailoring of strategies and adaptations, promoting scale-out and spread.
  • Further research should involve more participants in tool development to address identified gaps.