Evidence map›Paper›PMID 39819373›Full record

ArticleImplementation science communications2025

Use of implementation logic models in the Quadruple Aim QUERI: conceptualization and evolution.

Russell E Glasgow, Marina S McCreight, Brianne Morgan, Heidi Sjoberg, Anne Hale, Lexus Ujano-De Motta, Lauren McKown, Rachael Kenney, Heather Gilmartin, Christine D Jones and 3 more

Abstract read
In one paragraph

Article in Implementation science communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Five Milestones to Addressing Rural Veteran Care Coordination, Care Management, and Case Management Needs: An Integrated Case Management Practice Framework.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  3. Article
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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

13 authors.

Russell E GlasgowAdult and Child Center for Outcomes Research and Delivery Science, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Marina S McCreightDenver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Aurora, CO, USA. marina.mccreight@va.gov.ORCID http://orcid.org/0000-0002-5894-5184
Brianne MorganDenver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Aurora, CO, USA.
Heidi SjobergDenver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Aurora, CO, USA.
Anne HaleDenver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Aurora, CO, USA.
Lexus Ujano-De MottaDenver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Aurora, CO, USA.
Lauren McKownDenver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Aurora, CO, USA.
Rachael KenneyDenver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Aurora, CO, USA.
Heather GilmartinDenver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Aurora, CO, USA.
Christine D JonesDenver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Aurora, CO, USA.
Joseph FrankDenver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Aurora, CO, USA.
Borsika A RabinAdult and Child Center for Outcomes Research and Delivery Science, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Catherine BattagliaDenver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Aurora, CO, USA.

Funding

HSRD VA IK2 HX002567
6 · The paper itself

Abstract

backgroundImplementation strategies are essential to deliver evidence-based programs that align with local context, resources, priorities, and preferences. However, it is not always clear how specific strategies are selected (vs. others) and strategies are not always operationalized clearly, distinctly, and dynamically. Implementation logic models provide one useful way to conceptualize the role and selection of implementation strategies, plan evaluation of their intended impacts on implementation and effectiveness outcomes, and to communicate key aspects of a project.

methodsThis paper describes our initial plans, experiences, and lessons learned from applying implementation logic models in the Quadruple Aim Quality Enhancement Research Initiative (QUERI) a large multi-study program funded by the Veterans Health Administration (VA). We began with two primary implementation strategies based on our earlier work (i.e., Iterative RE-AIM and Relational Facilitation) that were applied across three different health outcomes studies.

resultsOur implementation strategies evolved over time, and new strategies were added. This evolution and reasons for changes are summarized and illustrated with the resulting logic models, both for the overall Quadruple Aim QUERI and the three specific projects. We found that implementation strategies are often not discrete, and their delivery and adaptation is dynamic and should be guided by emerging data and evolving context. Review of logic models across projects was an efficient and useful approach for understanding similarities and differences across projects.

conclusionsImplementation logic models are helpful for clarifying key objectives and issues for both study teams and implementation partners. There are challenges in logic model construction and presentation when multiple strategies are employed, and when strategies change over time. We recommend presentation of both original and periodically updated project models and provide recommendations for future use of implementation logic models.

Indexed as

AdaptationContextImplementation outcomesImplementation strategyIterationLogic modelPragmatic researchQUERI

Identifiers

PMID39819373
PMCPMC11740328

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.