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Making Implementation Costing More Accessible: Initial Transdisciplinary Guidance for Researchers and Practitioners.

Andria B Eisman1, John Cronin2, Debra P Ritzwoller3

  • 1Community Health, Division of Kinesiology, Health and Sport Studies, College of Education, Wayne State University, Detroit, MI, USA.

Implementation Research and Practice
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Summary

This study provides practical guidance for implementation cost evaluations, offering tools and examples for assessing and reporting real-world costs. It emphasizes pragmatic approaches for consistent and feasible costing in implementation science.

Keywords:
Implementation sciencecost analysisdisseminationeconomic evaluationhealth servicesreplication

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Area of Science:

  • Implementation Science
  • Health Economics
  • Program Evaluation

Background:

  • Lack of practical guidance for implementation cost evaluations.
  • Need for tools and examples in assessing implementation costs.
  • Importance of understanding costs for program adoption and sustainability.

Purpose of the Study:

  • Develop pragmatic approaches for assessing and reporting implementation costs.
  • Provide guidance on conducting feasible and consistent cost evaluations.
  • Support the application of costing in implementation studies.

Main Methods:

  • Assembled a transdisciplinary team of implementation scientists and health economists.
  • Used an iterative process of guideline development and feedback (similar to USE-EBPI).
  • Identified key issues in implementation costing.

Main Results:

  • Developed recommendations for identifying resource costs, using activity-based costing (ABC), valuing resources, and estimating replication/sustainment costs.
  • Illustrated recommendations with a study example.
  • Emphasized tailoring approaches to context and project needs.

Conclusions:

  • Understanding implementation costs is crucial for program success.
  • Real-world costing involves balancing precision and feasibility.
  • Transdisciplinary guidance can improve pragmatic cost assessment and reporting.