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Outcomes for implementation science: an enhanced systematic review of instruments using evidence-based rating criteria.

Lewis CC, Fischer S, Weiner BJ, Stanick C, Kim M, Martinez RG - Implement Sci (2015)

Bottom Line: Proctor and colleagues established a core set of implementation outcomes including: acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration, sustainability (Adm Policy Ment Health Ment Health Serv Res 36:24-34, 2009).We identified 104 instruments across eight constructs, with nearly half (n = 50) assessing acceptability and 19 identified for adoption, with all other implementation outcomes revealing fewer than 10 instruments.The majority of instruments had no information regarding responsiveness or predictive validity.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychological and Brain Sciences, Indiana University, 1101 E. 10th St., Bloomington, IN, 47405, USA. lewiscc@indiana.edu.

ABSTRACT

Background: High-quality measurement is critical to advancing knowledge in any field. New fields, such as implementation science, are often beset with measurement gaps and poor quality instruments, a weakness that can be more easily addressed in light of systematic review findings. Although several reviews of quantitative instruments used in implementation science have been published, no studies have focused on instruments that measure implementation outcomes. Proctor and colleagues established a core set of implementation outcomes including: acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration, sustainability (Adm Policy Ment Health Ment Health Serv Res 36:24-34, 2009). The Society for Implementation Research Collaboration (SIRC) Instrument Review Project employed an enhanced systematic review methodology (Implement Sci 2: 2015) to identify quantitative instruments of implementation outcomes relevant to mental or behavioral health settings.

Methods: Full details of the enhanced systematic review methodology are available (Implement Sci 2: 2015). To increase the feasibility of the review, and consistent with the scope of SIRC, only instruments that were applicable to mental or behavioral health were included. The review, synthesis, and evaluation included the following: (1) a search protocol for the literature review of constructs; (2) the literature review of instruments using Web of Science and PsycINFO; and (3) data extraction and instrument quality ratings to inform knowledge synthesis. Our evidence-based assessment rating criteria quantified fundamental psychometric properties as well as a crude measure of usability. Two independent raters applied the evidence-based assessment rating criteria to each instrument to generate a quality profile.

Results: We identified 104 instruments across eight constructs, with nearly half (n = 50) assessing acceptability and 19 identified for adoption, with all other implementation outcomes revealing fewer than 10 instruments. Only one instrument demonstrated at least minimal evidence for psychometric strength on all six of the evidence-based assessment criteria. The majority of instruments had no information regarding responsiveness or predictive validity.

Conclusions: Implementation outcomes instrumentation is underdeveloped with respect to both the sheer number of available instruments and the psychometric quality of existing instruments. Until psychometric strength is established, the field will struggle to identify which implementation strategies work best, for which organizations, and under what conditions.

No MeSH data available.


Related in: MedlinePlus

Sustainability PRISMA enhanced systematic review flowchart
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Fig10: Sustainability PRISMA enhanced systematic review flowchart

Mentions: Traditional systematic review methods did not prove useful for identifying articles with implementation outcomes instruments. While searches of electronic bibliographic databases yielded 534 unique (non-duplicate) articles (see Fig. 2), only 16 articles were retained following our review process as they had relevant instruments (construct PRISMA flowcharts in Figs. 3, 4, 5, 6, 7, 8, 9, and 10). By contrast, respondent-driven sampling emails and targeted newsletter reviews proved far more useful for instrument identification with a total of 88 unique (non-duplicate) instruments obtained using these methods.Fig. 2


Outcomes for implementation science: an enhanced systematic review of instruments using evidence-based rating criteria.

Lewis CC, Fischer S, Weiner BJ, Stanick C, Kim M, Martinez RG - Implement Sci (2015)

Sustainability PRISMA enhanced systematic review flowchart
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4634818&req=5

Fig10: Sustainability PRISMA enhanced systematic review flowchart
Mentions: Traditional systematic review methods did not prove useful for identifying articles with implementation outcomes instruments. While searches of electronic bibliographic databases yielded 534 unique (non-duplicate) articles (see Fig. 2), only 16 articles were retained following our review process as they had relevant instruments (construct PRISMA flowcharts in Figs. 3, 4, 5, 6, 7, 8, 9, and 10). By contrast, respondent-driven sampling emails and targeted newsletter reviews proved far more useful for instrument identification with a total of 88 unique (non-duplicate) instruments obtained using these methods.Fig. 2

Bottom Line: Proctor and colleagues established a core set of implementation outcomes including: acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration, sustainability (Adm Policy Ment Health Ment Health Serv Res 36:24-34, 2009).We identified 104 instruments across eight constructs, with nearly half (n = 50) assessing acceptability and 19 identified for adoption, with all other implementation outcomes revealing fewer than 10 instruments.The majority of instruments had no information regarding responsiveness or predictive validity.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychological and Brain Sciences, Indiana University, 1101 E. 10th St., Bloomington, IN, 47405, USA. lewiscc@indiana.edu.

ABSTRACT

Background: High-quality measurement is critical to advancing knowledge in any field. New fields, such as implementation science, are often beset with measurement gaps and poor quality instruments, a weakness that can be more easily addressed in light of systematic review findings. Although several reviews of quantitative instruments used in implementation science have been published, no studies have focused on instruments that measure implementation outcomes. Proctor and colleagues established a core set of implementation outcomes including: acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration, sustainability (Adm Policy Ment Health Ment Health Serv Res 36:24-34, 2009). The Society for Implementation Research Collaboration (SIRC) Instrument Review Project employed an enhanced systematic review methodology (Implement Sci 2: 2015) to identify quantitative instruments of implementation outcomes relevant to mental or behavioral health settings.

Methods: Full details of the enhanced systematic review methodology are available (Implement Sci 2: 2015). To increase the feasibility of the review, and consistent with the scope of SIRC, only instruments that were applicable to mental or behavioral health were included. The review, synthesis, and evaluation included the following: (1) a search protocol for the literature review of constructs; (2) the literature review of instruments using Web of Science and PsycINFO; and (3) data extraction and instrument quality ratings to inform knowledge synthesis. Our evidence-based assessment rating criteria quantified fundamental psychometric properties as well as a crude measure of usability. Two independent raters applied the evidence-based assessment rating criteria to each instrument to generate a quality profile.

Results: We identified 104 instruments across eight constructs, with nearly half (n = 50) assessing acceptability and 19 identified for adoption, with all other implementation outcomes revealing fewer than 10 instruments. Only one instrument demonstrated at least minimal evidence for psychometric strength on all six of the evidence-based assessment criteria. The majority of instruments had no information regarding responsiveness or predictive validity.

Conclusions: Implementation outcomes instrumentation is underdeveloped with respect to both the sheer number of available instruments and the psychometric quality of existing instruments. Until psychometric strength is established, the field will struggle to identify which implementation strategies work best, for which organizations, and under what conditions.

No MeSH data available.


Related in: MedlinePlus