Evidence map›Paper›PMID 36273224›Full record

ArticleImplementation science communications2022

The mechanics of implementation strategies and measures: advancing the study of implementation mechanisms.

Cara C Lewis, Predrag Klasnja, Aaron R Lyon, Byron J Powell, Rebecca Lengnick-Hall, Gretchen Buchanan, Rosemary D Meza, Michelle C Chan, Marcella H Boynton, Bryan J Weiner

Abstract read
In one paragraph

Article in Implementation science communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Pooled it
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  10. Habit Formation to Enhance Implementation of Evidence-based Practice.Administration and policy in mental health · 2026
    Review
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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Cara C LewisKaiser Permanente Washington Health Research Institute, Seattle, WA, USA. cara.c.lewis@kp.org.ORCID http://orcid.org/0000-0001-8920-8075
Predrag KlasnjaSchool of Information, University of Michigan, Ann Arbor, MI, USA.
Aaron R LyonDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Byron J PowellCenter for Mental Health Services Research, Brown School, Washington University in St. Louis, St Louis, MO, USA.
Rebecca Lengnick-HallCenter for Mental Health Services Research, Brown School, Washington University in St. Louis, St Louis, MO, USA.
Gretchen BuchananCenter for Mental Health Services Research, Brown School, Washington University in St. Louis, St Louis, MO, USA.
Rosemary D MezaKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Michelle C ChanKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Marcella H BoyntonDivision of General Medicine and Clinical Epidemiology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Bryan J WeinerDepartment of Global Health, University of Washington, Seattle, WA, USA.

Funding

GWB MENTAL HEALTH SERVICE RESEARCH TRAININGT32MH019960 · NIMH · WASHINGTON UNIVERSITY · PI Leopoldo J Cabassa, Byron James Powell · 1995 to 2026
$11.1M
Project 3P50MH126219 · NIMH · UNIVERSITY OF WASHINGTON · PI LYON, AARON ROBERT · 2021 to 2024
$5.9M
University of Washington Developmental AIDS Research Center for Mental Health (UW ARCH)P30MH123248 · NIMH · UNIVERSITY OF WASHINGTON · PI SIMONI, JANE M. · 2021 to 2024
$5.8M
Optimizing Implementation in Cancer Control: OPTICC - Research Program CoreP50CA244432 · NCI · UNIVERSITY OF WASHINGTON · PI HANNON, MARGARET A, WEINER, BRYAN J. · 2019 to 2023
$4.6M
MECHANISMS: The MECHANics of Implementation Strategies and MeasureSR01CA262325 · NCI · UNIVERSITY OF WASHINGTON · PI POWELL, BYRON JAMES, WEINER, BRYAN J. · 2021 to 2023
$2.2M
AHRQ HHS R13 HS025632NCI NIH HHS P50 CA244432NCI NIH HHS R01 CA262325NIMH NIH HHS P30 MH123248NIMH NIH HHS P50 MH126219NIMH NIH HHS P50MH126219NIMH NIH HHS T32 MH019960
6 · The paper itself

Abstract

backgroundThere is a fundamental gap in understanding the causal mechanisms by which strategies for implementing evidence-based practices address local barriers to effective, appropriate service delivery. Until this gap is addressed, scientific knowledge and practical guidance about which implementation strategies to use in which contexts will remain elusive. This research project aims to identify plausible strategy-mechanism linkages, develop causal models for mechanism evaluation, produce measures needed to evaluate such linkages, and make these models, methods, and measures available in a user-friendly website. The specific aims are as follows: (1) build a database of strategy-mechanism linkages and associated causal pathway diagrams, (2) develop psychometrically strong, pragmatic measures of mechanisms, and (3) develop and disseminate a website of implementation mechanisms knowledge for use by diverse stakeholders.

methodsFor the first aim, a combination of qualitative inquiry, expert panel methods, and causal pathway diagramming will be used to identify and confirm plausible strategy-mechanism linkages and articulate moderators, preconditions, and proximal and distal outcomes associated with those linkages. For the second aim, rapid-cycle measure development and testing methods will be employed to create reliable, valid, pragmatic measures of six mechanisms of common strategies for which no high-quality measures exist. For the third aim, we will develop a user-friendly website and searchable database that incorporates user-centered design, disseminating the final product using social marketing principles. DISCUSSION: Once strategy-mechanism linkages are identified using this multi-method approach, implementation scientists can use the searchable database to develop tailored implementation strategies and generate more robust evidence about which strategies work best in which contexts. Moreover, practitioners will be better able to select implementation strategies to address their specific implementation problems. New horizons in implementation strategy development, optimization, evaluation, and deployment are expected to be more attainable as a result of this research, which will lead to enhanced implementation of evidence-based interventions for cancer control, and ultimately improvements in patient outcomes.

Indexed as

Causal pathway diagramsDeterminantsImplementation ScienceMeasuresMechanismsTheory

Identifiers

PMID36273224
PMCPMC9588220

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.