Abstract
Die Implementationsforschung operationalisiert Schritte einer erfolgreichen Umsetzung von Forschungsergebnissen. Im vorliegenden Beitrag wird das Konzept der Implementationsforschung jenseits von Konzepten der praktischen Umsetzung und der erzielten Evaluationsergebnisse betrachtet. Hierzu wird eine Taxonomie von acht konzeptionell unterscheidbaren Outcomeparametern vorgeschlagen: Akzeptanz, Übernahme, Angemessenheit, Machbarkeit, Wiedergabetreue, Kosten, Durchdringung und Nachhaltigkeit. Das Konzeptualisieren und Ermitteln von Implementationsergebnissen tragen dazu bei, die Effizienz der Implementationsforschung zu erhöhen und den Weg für ein besseres Verständnis von Umsetzungsstrategien zu ebnen.
Implementation research operationalizes the steps required for the successful implementation of research findings. This article will examine the concepts of practical implementation and evaluation results independently. For this purpose a taxonomy of eight conceptually distinct outcome parameters of implementation is proposed: acceptability, adoption, appropriateness, feasibility, fidelity, implementation cost, penetration, and sustainability. Determining and measuring implementation outcomes contribute to increasing the efficiency of implementation research and pave the way for a better understanding of implementation strategies.
Literatur
2004). Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-based Practice Attitude Scale (EBPAS). Mental Health Services Research, 6, 61 – 74.
(2007). Implementation of evidence-based practice in child welfare: Service provider perspectives. Mental Health Services Research, 34, 411 – 419.
(2007). Counselor assessments of training and adoption barriers. Journal of Substance Abuse Treatment, 33, 193 – 199.
(2010). Outcome and experience of implementing spinal muscular atrophy carrier screening on sperm donors. Fertility and Sterility, 94, 1912 – 1914.
(2001). Implementation of the ‘fresh start’ smoking cessation programme to 23 antenatal clinics: A randomized controlled trial investigating two methods of dissemination. Drug and Alcohol Review, 20, 19 – 28.
(2000). The study of implementation: Current findings from effective programs that prevent mental disorders in school-aged children. Journal of Educational and Psychological Consultation, 11, 193 – 221.
(2003). A review of research on fidelity of implementation: Implications for drug abuse prevention in school settings. Health Education Research, 18, 237 – 256.
(1998). Implementation als Problem der Modellversuchsforschung. Unterrichtswissenschaft, 26, 312 – 326.
(2008). Uptake of electronic prescribing in community-based practices. Journal of General Internal Medicine, 23, 358 – 363.
(2005). Implementation research: A synthesis of the literature. Tampa: University of South Florida.
(2007). eHealth evaluation and dissemination research. American Journal of Preventive Medicine, 32, 119 – 126.
(2007). Ontario doctors’ attitudes toward and use of clinical practice guidelines in oncology. Journal of Evaluation in Clinical Practice, 13, 607 – 615.
(2006). Toward evidence-based quality improvement: Evidence (and its limitations) of the effectiveness of guideline dissemination and implementation strategies 1966 – 1998. Journal of General Internal Medicine, 21, 14 – 20.
(2010). Effekte der Stepping Stones Elterngruppentrainings für Familien mit behinderten Kindern. Kindheit und Entwicklung, 19, 36 – 46.
(2008). Adoption of evidence-based practices among substance abuse treatment providers. Journal of Drug Education, 38, 181 – 192.
(2008). Statewide adoption and initial implementation of contingency management for substance-abusing adolescents. Journal of Consulting and Clinical Psychology, 76, 556 – 567.
(2007). Feasibility and acceptability of a mental health screening tool and training programme in the youth alcohol and other drug (AOD) sector. Drug and Alcohol Review, 26, 509 – 515.
(2004). Building capacity and sustainable prevention innovations: A sustainability planning model. Evaluation Program Planning, 27, 135 – 149.
(2005). Acceptability of a computerized alcohol screening and advice routine in an emergency department setting–A patient perspective. Addictive Behaviors, 30, 767 – 776.
(2004). Beyond usability: Designing effective technology implementation systems to promote patient safety. Quality and Safety in Health Care, 13, 388 – 394.
(2012). Inanspruchnahme von Psychotherapie durch Jugendliche mit und ohne eine posttraumatische Belastungsstörung. Kindheit und Entwicklung, 21, 238 – 244.
(1998). Evaluating implementation. In , Advances in educational productivity (7th ed., pp. 117 – 133). Stanford: JAI Press.
(2000). Measuring implementation of school programs and policies to promote healthy eating and physical activity among youth. Preventive Medicine, 31, 86 – 97.
(2007). Cost-efficacy of individual and combined treatments for panic disorder. The Journal of Clinical Psychiatry, 68, 1038 – 1044.
(2004). The importance of implementation fidelity. Emotional and Behavioral Disorders in Youth, 4, 83 – 86.
(2009). Specifying and reporting complex behavior change interventions: The need for a scientific method. Implementation Science, 4, 40.
(2005). Making psychological theory useful for implementing evidence based practice: A consensus approach. Quality and Safety in Health Care, 14, 26 – 33.
(2009). Psychosomatische Rehabilitation: Quo vadis? Die Rehabilitation, 48, 257 – 262.
(2009). Implementation research in mental health services: An emerging science with conceptual, methodological, and training challenges. Administration and Policy in Mental Health and Mental Health Services Research, 36, 24 – 34.
(2008). A glossary for dissemination and implementation research in health. Journal of Public Health Management and Practice, 14, 117 – 123.
(1998). How best to measure implementation of school health curricula: A comparison of three measures. Health Education Research, 13, 239 – 250.
(2006). Costs of the ‘hartslag limburg’ community heart health intervention. BMC Public Health, 6, 51.
(1995). Measuring the implementation of health promotion programs: The case of the Breast and Cervical Cancer Program in Maryland. Health Education Research, 10, 11 – 25.
(2002). Service penetration by persons with severe mental illness: How should it be measured? Journal of Behavioral Health Services & Research, 29, 198.
(2006). Dissemination of evidence-based parenting and family support strategies: Learning from the triple p-positive parenting program system approach. Aggression and Violent Behavior, 11, 176 – 193.
(2008). Diffusion of an e-learning programme among Danish general practitioners: A nation-wide prospective survey. BMC Family Practice, 9, 24.
(2003). Usability of a computerized PAIN Report It in the general public with pain and people with cancer pain. Journal of Pain and Symptom Management, 25, 213 – 224.
(