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Getting to Fidelity: Consensus Development Process to Identify Core Activities of Implementation Facilitation.

Jeffrey L Smith1,2, Mona J Ritchie1,2, Bo Kim3,4

  • 1VA Behavioral Health Quality Enhancement Research Initiative (QUERI) & HSR&D Center for Mental Healthcare & Outcomes Research (CeMHOR), Central Arkansas Veterans Healthcare System, 900 S. Shackelford Road, Fifth Floor, Little Rock, AR 72211, USA.

Global Implementation Research and Applications
|May 20, 2024
PubMed
Summary

Researchers identified core activities for Implementation Facilitation (IF) to ensure clinical innovations are delivered effectively. This consensus process provides a foundation for developing tools to monitor IF fidelity in practice.

Keywords:
FidelityImplementation facilitationImplementation strategyModified Delphi consensus development process

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Area of Science:

  • Implementation Science
  • Healthcare Management
  • Clinical Innovation Adoption

Background:

  • Translating research into practice necessitates fidelity assessment of implementation strategies.
  • Implementation Facilitation (IF) is a dynamic, interactive strategy supporting clinical innovation adoption.
  • Assessing IF fidelity is challenging due to its multifaceted nature.

Purpose of the Study:

  • To identify core activities for monitoring fidelity to Implementation Facilitation (IF) in clinical settings.
  • To establish a consensus-based list of essential IF activities across implementation phases.
  • To provide a foundation for developing fidelity assessment tools for IF.

Main Methods:

  • Conducted a scoping literature review (1996-2015) to identify IF activities.
  • Extracted data on IF activities, their reported core status, and outcomes from 135 articles.
  • Utilized a 3-stage modified-Delphi expert panel process to reach consensus on core IF activities.

Main Results:

  • Identified 32 distinct IF activities from the literature review.
  • An expert panel consensus identified 8 core activities for the Pre-Implementation Phase.
  • The panel identified 8 core activities for the Implementation Phase and 4 for the Sustainment Phase.

Conclusions:

  • This study successfully identified core activities for IF across three implementation phases.
  • The findings provide a crucial foundation for developing robust fidelity monitoring tools for IF.
  • Ensuring fidelity to core IF activities is essential for successful clinical innovation implementation.