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Defining re-implementation.

Rachel Moyal-Smith1, James C Etheridge2,3, Ami Karlage2

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|June 5, 2023
PubMed
Summary
This summary is machine-generated.

Re-implementation, the systematic reintroduction of an intervention, offers a second chance to achieve desired outcomes by addressing initial failures. This study defines re-implementation and identifies three common circumstances for its occurrence.

Keywords:
De-implementationImplementation scienceRe-implementation

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Area of Science:

  • Implementation Science
  • Healthcare Management
  • Public Health Interventions

Background:

  • Initial attempts to implement new tools or practices may not yield desired results.
  • Re-implementation involves systematically reintroducing an intervention in the same setting, allowing for modifications to address prior failures.
  • This article defines re-implementation and presents a taxonomy based on literature examples.

Purpose of the Study:

  • To define re-implementation and develop a taxonomy for its various circumstances.
  • To provide a framework for practitioners and researchers engaged in re-implementation efforts.
  • To explore the concept of re-implementation within the existing body of implementation science literature.

Main Methods:

  • A scoping review of literature was conducted to identify cases of re-implementation.
  • Search terms were iteratively developed and tested, with searches performed in PubMed and CINAHL.
  • Thematic analysis was used to categorize the circumstances leading to re-implementation in 15 selected articles.

Main Results:

  • Three primary circumstances for re-implementation were identified: failed implementation, flawed intervention, and unsustained intervention.
  • These circumstances can overlap, each requiring specific strategies for successful re-implementation.
  • The study identified 11 distinct cases of re-implementation across 15 articles.

Conclusions:

  • Re-implementation is a recognized practice but lacks consistent terminology and description in the literature.
  • A clear definition and taxonomy of re-implementation can guide practitioners and researchers.
  • Further research is needed to bridge the gap between re-implementation practice and scientific understanding.