Measuring implementation: development of the implementation process assessment tool (IPAT)

Abstract Background Implementation science comprises a large set of theories suggesting interacting factors at different organisational levels. Development of literature syntheses and frameworks for implementation have contributed to comprehensive descriptions of implementation. However, corresponding instruments for measuring these comprehensive descriptions are currently lacking. The present study aimed to develop an instrument measuring care providers’ perceptions of an implementation effort, and to explore the instrument’s psychometric properties. Methods Based on existing implementation literature, a questionnaire was designed with items on individual and team factors and on stages of change in an implementation process. The instrument was tested in a Norwegian study on implementation of evidence based practices for psychosis. Item analysis, factor structure, and internal consistency at baseline were examined. Results The 27-item Implementation Process Assessment Tool (IPAT) revealed large variation between mean score of the items. The total scale scores were widely dispersed across respondents. Internal consistency for the total scale was high (Cronbach’s alpha: .962), and all but one item contributed positively to the construct. The results indicated four underlying constructs: individual stages for behavioural change, individual activities and perceived support, collective readiness and support, and individual perceptions of the intervention. Conclusions The IPAT appears to be a feasible instrument for investigating the implementation process from the perspective of those making the change. It can enable examination of the relative importance of factors thought to be essential for implementation outcomes. It may also provide ongoing feedback for leaders tailoring support for teams to improve implementation. However, further research is needed to detect the instrument’s properties later in the implementation process and in different contexts. Trial registration ClinicalTrials.gov code NCT03271242 (retrospective registered September 5, 2017).

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PID https://www.doi.org/10.6084/m9.figshare.c.4708013
PID https://www.doi.org/10.1186/s12913-019-4496-0
PID https://www.doi.org/10.6084/m9.figshare.c.4708013.v1
URL https://hdl.handle.net/11250/2643413
URL http://dx.doi.org/10.6084/m9.figshare.c.4708013.v1
URL http://dx.doi.org/10.6084/m9.figshare.c.4708013
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Access Right Open Access
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Author M. Hartveit
Author E. Hovlid
Author M. Nordin
Author J. Øvretveit
Author G. Bond
Author E. Biringer
Author J. Assmus
Author G. Mariniusson
Author T. Ruud
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Collected From Datacite; Norwegian Open Research Archives
Hosted By figshare; Norwegian Open Research Archives
Publication Date 2019-01-01
Publisher figshare
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Language UNKNOWN
Resource Type Collection; Other ORP type
keyword FOS: Sociology
keyword FOS: Biological sciences
system:type other
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Source https://science-innovation-policy.openaire.eu/search/other?orpId=dedup_wf_001::f65273df513c9f0b317c8e49a6a47c60
Author jsonws_user
Last Updated 18 December 2020, 18:14 (CET)
Created 18 December 2020, 18:14 (CET)