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Updated: Jul 3, 2025

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
What do you think it means? Using cognitive interviewing to improve measurement in implementation science:
Zabin Patel-Syed1, Sara Becker2, Miranda Olson2
1Northwestern University Feinberg School of Medicine, Institute for Public Health and Medicine, Center for Dissemination and Implementation Science, Chicago, USA. zabin.patel@northwestern.edu.
Cognitive interviewing enhances the development of pragmatic implementation measures by gathering partner feedback. This method improves measure relevance in specific contexts, though it is currently underutilized in implementation science.
Area of Science:
- Implementation Science
- Health Services Research
- Qualitative Methods
Background:
- Pragmatic measures are crucial for evaluating evidence-based interventions.
- Cognitive interviewing is a valuable qualitative method for developing these measures.
- Current use of cognitive interviewing in implementation research is limited, leading to "homegrown" measures.
Purpose of the Study:
- To provide a rationale for using cognitive interviewing in implementation science.
- To illustrate the application of cognitive interviewing through a case example.
- To discuss the benefits of cognitive interviewing for improving measurement in implementation science.
Main Methods:
- Utilized cognitive interviewing to inform the development of a measurement-based care protocol.
- Focused on implementation in opioid treatment programs.
- Collected multi-level feedback on assessment procedures.
Main Results:
- Demonstrated how cognitive interviewing can increase a measure's fit within a specific implementation context.
- Showcased the development of a common language with partners through the method.
- Highlighted the improvement of measurement through multi-level feedback.
Conclusions:
- Cognitive interviewing is an underused but effective method for developing pragmatic implementation measures.
- Its application can enhance the relevance and utility of measures in implementation science.
- Further integration of cognitive interviewing can strengthen measurement practices in the field.
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