ArticleImplementation science : IS2021
Enhancing organizational readiness for implementation: constructing a typology of readiness-development strategies using a modified Delphi process.
Article in Implementation science : IS, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Key Strategies for Improving Psychiatric Home-Based Care in Spain: A Modified Delphi Study.Scandinavian journal of caring sciences · 2026Article
- How Formal and Informal Nurse Leaders Enact Shared Implementation Leadership in a Hospital Setting.Journal of advanced nursing · 2026Article
- An implementation mapping approach to equitable program delivery: building readiness in community organizations.Implementation science communications · 2026Article
- Stakeholder engagement as a valuable tool to improve the relevance of research regarding framework development.npj veterinary sciences · 2026Article
- Building readiness in community-based organisations to enable the implementation of public health interventions for adults and older adults: a scoping review.BMC public health · 2025Article
- The role of organizational characteristics in intervention sustainment: findings from a quantitative analysis in 42 HIV testing clinics in Vietnam.Implementation science communications · 2025Article
- Organizational readiness and implementation fidelity of an early childhood education and care-specific physical activity policy intervention: findings from the Play Active trial.Journal of public health (Oxford, England) · 2024Article
- Factors that favor or hinder the acquisition of a digital culture in large organizations in Chile.Frontiers in psychology · 2023Article
- Tracking, naming, specifying, and comparing implementation strategies for person-centred care in a real-world setting: a case study with seven embedded units.BMC health services research · 2022Article
- Examining the complementarity between the ERIC compilation of implementation strategies and the behaviour change technique taxonomy: a qualitative analysis.Implementation science : IS · 2022Article
- Building organizational readiness: initial field testing of an expert-informed typology of implementation strategies.Implementation science communications · 2022Article
- Increasing Access to Organization Theories for Implementation Science.Frontiers in health services · 2022Article
- Co-creating physical activity interventions: Findings from a multiple case study using mixed methods.Frontiers in public health · 2022Article
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5 authors.
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Abstract
backgroundKnowledge about the development of organizational readiness for implementation (ORI) is limited. ORI, referred to as the willingness and capacity of all relevant stakeholders to change practice, is critical for increasing the adoption rate of evidence-based practices and improving implementation outcomes. However, no methodology currently guides ORI's enhancement or addresses differences in readiness needs across an organization. This study used the transtheoretical model (TTM) as a framework for classifying a well-established compilation of implementation strategies into three readiness stages: pre-contemplation, contemplation, and preparation.
methodsA modified Delphi method was used to establish consensus among a panel of purposefully selected research and field implementation experts. The Delphi process involved three rounds of online questionnaires. The third round also included a live video discussion to clarify definitions in an effort to increase consensus among experts.
resultsOf the 73 strategies reviewed, the experts identified 75% (n = 55) as relevant for pre-implementation and reached a high-level agreement on the assignment of 7% (n = 5) of the strategies to the pre-contemplation stage (ORI-1), 25% (n = 18) to the contemplation stage (ORI-2), and 52% (n = 38) to the preparation stage (ORI-3). Several strategies were identified as relevant to more than one stage.
conclusionsParticipating experts were able to reach high-level agreement on the relevance of specific sets of implementation strategies to each of the three ORI stages. The lowest number of strategies was assigned to ORI-1 and the highest number to ORI-3. Given the overlap of strategies across ORI stages, there is a need to better understand the specific utilization of such strategies at different stages. Future studies are needed to empirically evaluate the relevance and applicability of this expert-informed typology based on implementers' experiences in the field.
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