Rapid and pragmatic implementation mapping for pre-implementation contextual analysis in multisite implementation...

Area of Science:

• Implementation Science
• Health Services Research
• Clinical Trials

Background:

• Selecting implementation strategies is often resource-intensive and time-limited.
• Multisite trials face externally driven timelines, complicating strategy selection.
• A novel tool was developed to streamline implementation mapping for strategy selection in a hybrid trial.

Purpose of the Study:

• To develop and deploy a tool for rigorous yet pragmatic implementation mapping.
• To facilitate strategy selection within the constraints of a multisite hybrid trial.
• To create a rapid process for identifying and selecting effective implementation strategies.

Main Methods:

• A strategy selection process based on implementation mapping and the Implementation Research Logic Model (IRLM) was developed.
• The process was refined across two sites, tested at two additional sites, and replicated across the trial.
• Considerations included resource requirements, duration, alignment with implementation science best practices, and utility for clinical partners.

Main Results:

• A seven-step rapid implementation mapping process was finalized.
• Key steps included data preparation, determinant identification, strategy selection, and development of a tailored implementation blueprint.
• The process integrated implementation mapping and the IRLM for efficient pre-implementation data utilization.

Conclusions:

• Significant resource barriers often hinder the use of implementation mapping and the IRLM.
• Rigorous and rapid methods were developed, integrating implementation mapping and the IRLM.
• The approach leverages pre-implementation data, supports clinical partners, and meets funding deadlines.