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Related Experiment Video

Updated: Mar 21, 2026

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Developing a tool for supporting health-system guidance implementation paper 2: a developmental and formative

Qi Wang1, Michael G Wilson2, Holger J Schünemann3

  • 1McMaster Health Forum, McMaster University, Hamilton, Ontario, Canada; Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada; Li Ka Shing Faculty of Medicine, School of Nursing, The University of Hong Kong, Hong Kong, China.

Journal of Clinical Epidemiology
|March 19, 2026
PubMed
Summary
This summary is machine-generated.

A new tool was developed to aid health-system guidance (HSG) implementation. This practical resource helps policymakers systematically consider key factors for successful HSG integration.

Keywords:
Formative evaluationHealth-system guidanceImplementationQualitative interviewsTool developmentUsability

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Area of Science:

  • Health Systems Research
  • Implementation Science
  • Guideline Development and Dissemination

Background:

  • Health-system guidance (HSG) implementation requires practical tools for effective application.
  • Existing implementation support may lack structure or user-centered design.

Purpose of the Study:

  • To develop and evaluate a practical tool to facilitate the implementation of health-system guidance.
  • To create a structured resource for policymakers and stakeholders involved in HSG implementation.

Main Methods:

  • A three-phase development process was employed, including component organization, team refinement, and formative evaluation.
  • Formative evaluation involved semi-structured qualitative interviews and a think-aloud approach with 17 participants from 11 countries.
  • The tool's face validity and perceived usability were assessed through qualitative feedback.

Main Results:

  • A practical HSG implementation tool, comprising a quick reference guide and checklist, was developed.
  • Nine key themes emerged from interviews, with four related to face validity: structure, item relevance, illustrative considerations, and comment section.
  • Participants found the tool's structure appropriate, items comprehensive, and expressed willingness to use it, suggesting refinements.

Conclusions:

  • A practical tool was successfully developed to support health-system guidance implementation.
  • The tool provides a structured approach for systematically considering essential factors and strategies in HSG planning.
  • This resource aims to enhance the systematic planning and execution of health-system guidance initiatives.