The introduction of implementation strategies of implementation science_Chinese Journal of Evidence-Based Medicine

Authors：

 SHEN Hongxia ^1,2,3 , YAN Sijing ¹ , LI Minyi ¹ , Rianne van der Kleij ^2,3 , Cynthia Hallensleben ^2,3 , Niels Chavannes ^2,3

1. School of Nursing, Guangzhou Medical University, Guangzhou 510182, P. R. China;
2. Leiden University Medical Center, Leiden 2300RC, Netherlands;
3. World eHealth Living Lab of the Netherlands, Leiden 2300RC, Netherlands;

Corresponding author：

SHEN Hongxia, Email: hx_shen@163.com

Keywords：

Implementation science; Implementation strategy; Implementation determinant

DOI：

10.7507/1672-2531.202211027

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Implementation science is a systematic research approach that promotes the integration of research findings and evidence-based practices into routine clinical practice. It has been a crucial topic in scientific inquiry. As the notion of ‘implementation science’ has evolved and associated theoretical and practical methodologies have been refined, researchers in this field have devised implementation strategies to address the determinants of implementation (barriers and facilitators) for clinical interventions, evidence-based practices, or novel technologies in clinical practice. The development of implementation strategies aims to foster the adoption and dissemination of innovations. This article offers a comprehensive introduction to the definition of implementation strategies, the process of selecting appropriate implementation strategies, the associated documentation and reporting procedures, with the aim of providing valuable references for enhancing future implementation research efforts.

Citation： SHEN Hongxia, YAN Sijing, LI Minyi, Rianne van der Kleij, Cynthia Hallensleben, Niels Chavannes. The introduction of implementation strategies of implementation science. Chinese Journal of Evidence-Based Medicine, 2023, 23(6): 708-714. doi: 10.7507/1672-2531.202211027 Copy

1.	Balas EA, Boren SA. Managing clinical knowledge for health care improvement. Yearb Med Inform, 2000, 1(1): 65-70.
2.	Institute of Medicine. Initial national priorities for comparative effectiveness research. Washington, DC: The National Academies Press, 2009.
3.	Morris ZS, Wooding S, Grant J. The answer is 17 years, what is the question: understanding time lags in translational research. J R Soc Med, 2011, 104(12): 510-520.
4.	屈智勇, 郭帅, 张维军, 等. 实施科学对我国心理健康服务体系建设的启示. 北京师范大学学报(社会科学版), 2017, (2): 29-36.
5.	Proctor EK, Powell BJ, McMillen JC. Implementation strategies: recommendations for specifying and reporting. Implement Sci, 2013, 8: 139.
6.	Chambers D, Vinson C, Norton W. Advancing the science of implementation across the cancer continuum. New York: Oxford University Press, 2018.
7.	Nilsen P, Bernhardsson S. Context matters in implementation science: a scoping review of determinant frameworks that describe contextual determinants for implementation outcomes. BMC Health Serv Res, 2019, 19(1): 189.
8.	Nilsen P. Making sense of implementation theories, models and frameworks. Implement Sci, 2015, 10: 53.
9.	张秋雯, 庞冬, 胡嘉乐, 等. 实施性研究综合框架(CFIR)的构成要素解读. 中国循证医学杂志, 2021, 21(3): 355-360.
10.	Damschroder LJ, Aron DC, Keith RE, et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci, 2009, 4: 50.
11.	Cane J, O'Connor D, Michie S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci, 2012, 7: 37.
12.	Michie S, Johnston M, Abraham C, et al. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care, 2005, 14(1): 26-33.
13.	Wensing M, Oxman A, Baker R, et al. Tailored implementation for chronic diseases (TICD): a project protocol. Implement Sci, 2011, 6: 103.
14.	Flottorp SA, Oxman AD, Krause J, et al. A checklist for identifying determinants of practice: a systematic review and synthesis of frameworks and taxonomies of factors that prevent or enable improvements in healthcare professional practice. Implement Sci, 2013, 8: 35.
15.	Kitson A, Harvey G, McCormack B. Enabling the implementation of evidence based practice: a conceptual framework. Qual Health Care, 1998, 7(3): 149-158.
16.	顾莺, 胡雁. PARIHS循证实践概念框架的应用研究进展. 解放军护理杂志, 2015, 32(8): 45-47, 51.
17.	Peters DH, Adam T, Alonge O, et al. Republished research: implementation research: what it is and how to do it. Br J Sports Med, 2014, 48(8): 731-736.
18.	Peters DH, Tran N, Adam T, et al. Implementation research in health: a practical guide. Geneva: World Health Organization, 2016.
19.	谢润生, 徐东, 李慧, 等. 医疗卫生领域中实施科学的研究方法. 中国循证医学杂志, 2020, 20(9): 1104-1110.
20.	Shen H, van der Kleij RMJJ, van der Boog PJM, et al. Electronic health self-management interventions for patients with chronic kidney disease: systematic review of quantitative and qualitative evidence. J Med Internet Res, 2019, 21(11): e12384.
21.	Shen H, van der Kleij R, van der Boog PJM, et al. Digital tools/eHealth to support CKD self-management: a qualitative study of perceptions, attitudes and needs of patients and health care professionals in China. Int J Med Inform, 2022, 165: 104811.
22.	Shen H, van der Kleij RMJJ, van der Boog PJM, et al. Patients' and healthcare professionals' beliefs, perceptions and needs towards chronic kidney disease self-management in China: a qualitative study. BMJ Open, 2021, 11(3): e044059.
23.	Shen H, van der Kleij R, van der Boog PJM, et al. Development and evaluation of an eHealth self-management intervention for patients with chronic kidney disease in China: protocol for a mixed-method hybrid type 2 trial. BMC Nephrol, 2020, 21(1): 495.
24.	Leeman J, Birken SA, Powell BJ, et al. Beyond "implementation strategies": classifying the full range of strategies used in implementation science and practice. Implement Sci, 2017, 12(1): 125.
25.	Waltz TJ, Powell BJ, Chinman MJ, et al. Expert recommendations for implementing change (ERIC): protocol for a mixed methods study. Implement Sci, 2014, 9: 39.
26.	Powell BJ, Waltz TJ, Chinman MJ, et al. A refined compilation of implementation strategies: results from the expert recommendations for implementing change (ERIC) project. Implement Sci, 2015, 10: 21.
27.	Ridde V, Pérez D, Robert E. Using implementation science theories and frameworks in global health. BMJ Glob Health, 2020, 5(4): e002269.
28.	Powell BJ, Beidas RS, Lewis CC, et al. Methods to improve the selection and tailoring of implementation strategies. J Behav Health Serv Res, 2017, 44(2): 177-194.
29.	Presseau J, McCleary N, Lorencatto F, et al. Action, actor, context, target, time (AACTT): a framework for specifying behaviour. Implement Sci, 2019, 14(1): 102.
30.	Versluis A, van Luenen S, Meijer E, et al. SERIES: eHealth in primary care. Part 4: addressing the challenges of implementation. Eur J Gen Pract, 2020, 26(1): 140-145.
31.	Haley AD, Powell BJ, Walsh-Bailey C, et al. Strengthening methods for tracking adaptations and modifications to implementation strategies. BMC Med Res Methodol, 2021, 21(1): 133.
32.	Albrecht L, Archibald M, Arseneau D, et al. Development of a checklist to assess the quality of reporting of knowledge translation interventions using the workgroup for intervention development and evaluation research (WIDER) recommendations. Implement Sci, 2013, 8: 52.
33.	Bragge P, Grimshaw JM, Lokker C, et al. AIMD - a validated, simplified framework of interventions to promote and integrate evidence into health practices, systems, and policies. BMC Med Res Methodol, 2017, 17(1): 38.
34.	Cheung DSK, Ho LYW, Chan LCK, et al. A home-based dyadic music-with-movement intervention for people with dementia and caregivers: a hybrid type 2 cluster-randomized effectiveness-implementation design. Clin Interv Aging, 2022, 17: 1199-1216.
35.	Palermo TM, de la Vega R, Murray C, et al. A digital health psychological intervention (WebMAP Mobile) for children and adolescents with chronic pain: results of a hybrid effectiveness-implementation stepped-wedge cluster randomized trial. Pain, 2020, 161(12): 2763-2774.
36.	Zabaleta-Del-Olmo E, Casajuana-Closas M, López-Jiménez T, et al. Multiple health behaviour change primary care intervention for smoking cessation, physical activity and healthy diet in adults 45 to 75 years old (EIRA study): a hybrid effectiveness-implementation cluster randomised trial. BMC Public Health, 2021, 21(1): 2208.

1. Balas EA, Boren SA. Managing clinical knowledge for health care improvement. Yearb Med Inform, 2000, 1(1): 65-70.
2. Institute of Medicine. Initial national priorities for comparative effectiveness research. Washington, DC: The National Academies Press, 2009.
3. Morris ZS, Wooding S, Grant J. The answer is 17 years, what is the question: understanding time lags in translational research. J R Soc Med, 2011, 104(12): 510-520.
4. 屈智勇, 郭帅, 张维军, 等. 实施科学对我国心理健康服务体系建设的启示. 北京师范大学学报(社会科学版), 2017, (2): 29-36.
5. Proctor EK, Powell BJ, McMillen JC. Implementation strategies: recommendations for specifying and reporting. Implement Sci, 2013, 8: 139.
6. Chambers D, Vinson C, Norton W. Advancing the science of implementation across the cancer continuum. New York: Oxford University Press, 2018.
7. Nilsen P, Bernhardsson S. Context matters in implementation science: a scoping review of determinant frameworks that describe contextual determinants for implementation outcomes. BMC Health Serv Res, 2019, 19(1): 189.
8. Nilsen P. Making sense of implementation theories, models and frameworks. Implement Sci, 2015, 10: 53.
9. 张秋雯, 庞冬, 胡嘉乐, 等. 实施性研究综合框架(CFIR)的构成要素解读. 中国循证医学杂志, 2021, 21(3): 355-360.
10. Damschroder LJ, Aron DC, Keith RE, et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci, 2009, 4: 50.
11. Cane J, O'Connor D, Michie S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci, 2012, 7: 37.
12. Michie S, Johnston M, Abraham C, et al. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care, 2005, 14(1): 26-33.
13. Wensing M, Oxman A, Baker R, et al. Tailored implementation for chronic diseases (TICD): a project protocol. Implement Sci, 2011, 6: 103.
14. Flottorp SA, Oxman AD, Krause J, et al. A checklist for identifying determinants of practice: a systematic review and synthesis of frameworks and taxonomies of factors that prevent or enable improvements in healthcare professional practice. Implement Sci, 2013, 8: 35.
15. Kitson A, Harvey G, McCormack B. Enabling the implementation of evidence based practice: a conceptual framework. Qual Health Care, 1998, 7(3): 149-158.
16. 顾莺, 胡雁. PARIHS循证实践概念框架的应用研究进展. 解放军护理杂志, 2015, 32(8): 45-47, 51.
17. Peters DH, Adam T, Alonge O, et al. Republished research: implementation research: what it is and how to do it. Br J Sports Med, 2014, 48(8): 731-736.
18. Peters DH, Tran N, Adam T, et al. Implementation research in health: a practical guide. Geneva: World Health Organization, 2016.
19. 谢润生, 徐东, 李慧, 等. 医疗卫生领域中实施科学的研究方法. 中国循证医学杂志, 2020, 20(9): 1104-1110.
20. Shen H, van der Kleij RMJJ, van der Boog PJM, et al. Electronic health self-management interventions for patients with chronic kidney disease: systematic review of quantitative and qualitative evidence. J Med Internet Res, 2019, 21(11): e12384.
21. Shen H, van der Kleij R, van der Boog PJM, et al. Digital tools/eHealth to support CKD self-management: a qualitative study of perceptions, attitudes and needs of patients and health care professionals in China. Int J Med Inform, 2022, 165: 104811.
22. Shen H, van der Kleij RMJJ, van der Boog PJM, et al. Patients' and healthcare professionals' beliefs, perceptions and needs towards chronic kidney disease self-management in China: a qualitative study. BMJ Open, 2021, 11(3): e044059.
23. Shen H, van der Kleij R, van der Boog PJM, et al. Development and evaluation of an eHealth self-management intervention for patients with chronic kidney disease in China: protocol for a mixed-method hybrid type 2 trial. BMC Nephrol, 2020, 21(1): 495.
24. Leeman J, Birken SA, Powell BJ, et al. Beyond "implementation strategies": classifying the full range of strategies used in implementation science and practice. Implement Sci, 2017, 12(1): 125.
25. Waltz TJ, Powell BJ, Chinman MJ, et al. Expert recommendations for implementing change (ERIC): protocol for a mixed methods study. Implement Sci, 2014, 9: 39.
26. Powell BJ, Waltz TJ, Chinman MJ, et al. A refined compilation of implementation strategies: results from the expert recommendations for implementing change (ERIC) project. Implement Sci, 2015, 10: 21.
27. Ridde V, Pérez D, Robert E. Using implementation science theories and frameworks in global health. BMJ Glob Health, 2020, 5(4): e002269.
28. Powell BJ, Beidas RS, Lewis CC, et al. Methods to improve the selection and tailoring of implementation strategies. J Behav Health Serv Res, 2017, 44(2): 177-194.
29. Presseau J, McCleary N, Lorencatto F, et al. Action, actor, context, target, time (AACTT): a framework for specifying behaviour. Implement Sci, 2019, 14(1): 102.
30. Versluis A, van Luenen S, Meijer E, et al. SERIES: eHealth in primary care. Part 4: addressing the challenges of implementation. Eur J Gen Pract, 2020, 26(1): 140-145.
31. Haley AD, Powell BJ, Walsh-Bailey C, et al. Strengthening methods for tracking adaptations and modifications to implementation strategies. BMC Med Res Methodol, 2021, 21(1): 133.
32. Albrecht L, Archibald M, Arseneau D, et al. Development of a checklist to assess the quality of reporting of knowledge translation interventions using the workgroup for intervention development and evaluation research (WIDER) recommendations. Implement Sci, 2013, 8: 52.
33. Bragge P, Grimshaw JM, Lokker C, et al. AIMD - a validated, simplified framework of interventions to promote and integrate evidence into health practices, systems, and policies. BMC Med Res Methodol, 2017, 17(1): 38.
34. Cheung DSK, Ho LYW, Chan LCK, et al. A home-based dyadic music-with-movement intervention for people with dementia and caregivers: a hybrid type 2 cluster-randomized effectiveness-implementation design. Clin Interv Aging, 2022, 17: 1199-1216.
35. Palermo TM, de la Vega R, Murray C, et al. A digital health psychological intervention (WebMAP Mobile) for children and adolescents with chronic pain: results of a hybrid effectiveness-implementation stepped-wedge cluster randomized trial. Pain, 2020, 161(12): 2763-2774.
36. Zabaleta-Del-Olmo E, Casajuana-Closas M, López-Jiménez T, et al. Multiple health behaviour change primary care intervention for smoking cessation, physical activity and healthy diet in adults 45 to 75 years old (EIRA study): a hybrid effectiveness-implementation cluster randomised trial. BMC Public Health, 2021, 21(1): 2208.

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The introduction of implementation strategies of implementation science

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