ArticleImplementation science communications2020
Visualizing implementation: contextual and organizational support mapping of stakeholders (COSMOS).
Article in Implementation science communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 28 citations in OpenAlex.
- Method for and potential value of reflexive stakeholder mapping of a policy evaluation team: the example of the national evaluation of the NHS Pharmacy First scheme.Health research policy and systems · 2026Article
- Harnessing Implementation Science to Reform Juvenile Services: A Roadmap for Change.Journal of applied juvenile justice services · 2026Article
- Review
- Use of bioaerosol stakeholder mapping and engagement for the development of future strategic collaborations: a UK perspective.Microbiology (Reading, England) · 2025Article
- Evidence adaptation and tailored implementation of family bereavement support in specialised palliative care: A multi-method study.International journal of nursing studies advances · 2025Article
- Identifying stakeholders and analyzing their concerns about African swine fever control in wild boar.Frontiers in veterinary science · 2025Article
- Power and interest levels in safely managed sanitation services in Zambia: A stakeholder mapping.PloS one · 2025Article
- Strengthening policy engagement when scaling up interventions targeting non-communicable diseases: insights from a qualitative study across 20 countries.Health policy and planning · 2024Article
- A Standard Approach to Project-Based Learning in a Clinical Informatics Fellowship.Applied clinical informatics · 2024Article
- Using Participatory Implementation Science to Advance Health Equity.Annual review of public health · 2024Review
- Good practice recommendations on implementation evaluation for policies targeting diet, physical activity, and sedentary behaviour.BMC public health · 2023Article
- A Modified Implementation Mapping Methodology for Evaluating and Learning From Existing Implementation.Frontiers in public health · 2022Review
- WICID framework version 1.0: criteria and considerations to guide evidence-informed decision-making on non-pharmacological interventions targeting COVID-19.BMJ global health · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile stakeholder mapping is common in public policy, social sciences, and business management, this tool has not often been used in healthcare settings. We developed a new method of healthcare stakeholder mapping, which we call Contextual and Organizational Support Mapping of Stakeholders (COSMOS), to identify and assess key stakeholders in an implementation project. Stakeholder mapping allows the implementation team to assess and visually display all relevant stakeholders, their support for the project, and their ability to facilitate-or hinder-project implementation.
methodsThe COSMOS model was developed to visualize the stakeholders involved in a hospital-based study conducted from 2013-2016. In this study, a new screen prompt and order set were embedded in the electronic health record to facilitate the identification and treatment of adult smokers admitted to the hospital. Physicians were the unit of randomization; physician behavior and tobacco quit rates among patients were followed for 1 year. Qualitative interviews with hospital administration, physicians, and information technology (IT) personnel (
resultsThe COSMOS consists of an organizational chart identifying all key stakeholders, with manipulation of colors and borders of the component boxes to indicate stakeholder support for the implementation project, and degree of criticality to its success. The COSMOS visualization informed the team's subsequent work by identifying potential impediments that might require additional attention to garner and maintain support throughout the project. In addition, the approach has proved to be a useful tool to explain these concepts to trainees in implementation science.
conclusionThe COSMOS schematic provides a visually rich means of identifying stakeholders, understanding their relationships to each other, displaying their level of support for the proposed implementation, and noting their criticality to the effort. The COSMOS can support researchers, project teams, administrators, and others engaged with implementation science-related work in healthcare, as well as other fields such as education, government, and industry.
Indexed as
Identifiers
What OpenQuestion holds
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.