ArticleImplementation science : IS2011
The meaning and measurement of implementation climate.
Article in Implementation science : IS, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 155 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
155 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Enhancing Nurse Leaders Evidence-Based Practice Implementation Leadership Competence. A Systematic Review and Meta-Analysis of Educational Interventions.Worldviews on evidence-based nursing · 2026Pooled it
- Implementing Internet-Delivered Cognitive Behavioral Therapy for Depression and Anxiety in Adults: Systematic Review.Journal of medical Internet research · 2025Pooled it
- Adaptability, Scalability and Sustainability (ASaS) of complex health interventions: a systematic review of theories, models and frameworks.Implementation science : IS · 2024Pooled it
- Improving Lynch syndrome detection: a mixed-methods process evaluation of a hybrid type III effectiveness-implementation trial.BMC health services research · 2024Trial
- Improving measurement-based care implementation in youth mental health through organizational leadership and climate: a mechanistic analysis within a randomized trial.Implementation science : IS · 2024Trial
- The implementation and validation of the NoMAD during a complex primary care intervention.BMC medical research methodology · 2022Trial
- Results of the Kigali Imbereheza Project: A 2-Arm Individually Randomized Trial of TI-CBT Enhanced to Address ART Adherence and Mental Health for Rwandan Youth Living With HIV.Journal of acquired immune deficiency syndromes (1999) · 2022Trial
- A stepped-wedge randomized trial investigating the effect of the Leadership and Organizational Change for Implementation (LOCI) intervention on implementation and transformational leadership, and implementation climate.BMC health services research · 2022Trial
- Project MIMIC (Maximizing Implementation of Motivational Incentives in Clinics): A cluster-randomized type 3 hybrid effectiveness-implementation trial.Addiction science & clinical practice · 2021Trial
- Examining the external validity of the CRUZA study, a randomized trial to promote implementation of evidence-based cancer control programs by faith-based organizations.Translational behavioral medicine · 2020Trial
- Applying the Exploration Preparation Implementation Sustainment (EPIS) Framework to the Kigali Imbereheza Project for Rwandan Adolescents Living With HIV.Journal of acquired immune deficiency syndromes (1999) · 2019Trial
- Organizational culture and climate as moderators of enhanced outreach for persons with serious mental illness: results from a cluster-randomized trial of adaptive implementation strategies.Implementation science : IS · 2018Trial
- Testing the leadership and organizational change for implementation (LOCI) intervention in substance abuse treatment: a cluster randomized trial study protocol.Implementation science : IS · 2017Trial
- Study protocol: implementation of a computer-assisted intervention for autism in schools: a hybrid type II cluster randomized effectiveness-implementation trial.Implementation science : IS · 2016Trial
- Advancing heart health in North Carolina primary care: the Heart Health NOW study protocol.Implementation science : IS · 2015Trial
- Implementing tobacco use treatment guidelines in community health centers in Vietnam.Implementation science : IS · 2015Trial
- Trial
- Clinician profiles of suicide prevention attitudes and confidence and their association with reported suicide prevention practices.Psychological services · 2026Article
- Defining and measuring implementation climate: a scoping review and concept analysis.Implementation science communications · 2026Review
- Identifying dimensions and components of organizational readiness for knowledge translation implementation in type I medical sciences universities in Iran: a scoping review.BMC health services research · 2026Article
95 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundClimate has a long history in organizational studies, but few theoretical models integrate the complex effects of climate during innovation implementation. In 1996, a theoretical model was proposed that organizations could develop a positive climate for implementation by making use of various policies and practices that promote organizational members' means, motives, and opportunities for innovation use. The model proposes that implementation climate--or the extent to which organizational members perceive that innovation use is expected, supported, and rewarded--is positively associated with implementation effectiveness. The implementation climate construct holds significant promise for advancing scientific knowledge about the organizational determinants of innovation implementation. However, the construct has not received sufficient scholarly attention, despite numerous citations in the scientific literature. In this article, we clarify the meaning of implementation climate, discuss several measurement issues, and propose guidelines for empirical study. DISCUSSION: Implementation climate differs from constructs such as organizational climate, culture, or context in two important respects: first, it has a strategic focus (implementation), and second, it is innovation-specific. Measuring implementation climate is challenging because the construct operates at the organizational level, but requires the collection of multi-dimensional perceptual data from many expected innovation users within an organization. In order to avoid problems with construct validity, assessments of within-group agreement of implementation climate measures must be carefully considered. Implementation climate implies a high degree of within-group agreement in climate perceptions. However, researchers might find it useful to distinguish implementation climate level (the average of implementation climate perceptions) from implementation climate strength (the variability of implementation climate perceptions). It is important to recognize that the implementation climate construct applies most readily to innovations that require collective, coordinated behavior change by many organizational members both for successful implementation and for realization of anticipated benefits. For innovations that do not possess these attributes, individual-level theories of behavior change could be more useful in explaining implementation effectiveness. SUMMARY: This construct has considerable value in implementation science, however, further debate and development is necessary to refine and distinguish the construct for empirical use.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.