Implementation Research:
A Synthesis of the Literature

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Download the entire document [5.2mb pdf]

Chapter 1 Introduction [144kb pdf]

  • Review Methods
  • An Implementation Headset
  • Implementation Defined
  • Degrees of Implementation

Chapter 2 Implementation in the Context of Community [300kb pdf]

  • Research on Community Context
  • Measuring Readiness

Chapter 3 A Conceptual View of Implementation [1.5mb pdf]

  • Conceptual Framework
  • Purveyors
  • Stages of Implementation Defined
    • Exploration and Adoption
    • Program Installation
    • Initial Implementation
    • Full Operation
    • Innovation
    • Sustainability
  • What We Know about Implementation Stages
    • Stages of Implementation and the Literature
    • Research on Stages of Implementation
  • Experimental Analyses of Implementation Strategies
    • Experimental Research: Ineffective Implementation Strategies
    • Experimental Research: Effective Implementation Strategies

Chapter 4 Core Implementation Components [540kb pdf]

  • Core Components Defined
  • Core Components for Interventions
    • Evidence-Based Practices and Evidence-Based Programs
    • Implementing Practices within Organizations
  • Core Components for Implementation
    • Overview and Definitions
    • Sources of Core Implementation Components
  • Developing Self-Sustaining Implementation Sites
  • National Implementation Efforts

Chapter 5 Research on Core Implementation Components [764kb pdf]

  • Staff Selection
    • Experimental Research on Selection
    • Practitioner Selection: Additional Evidence
    • Organization Staff Selection: Additional Evidence
    • Purveyor Staff Selection: Additional Evidence
    • Staff Selection Summary
  • Staff Training
    • Factors that Impact Training
    • Experimental Research on Training Outcomes
    • Experimental Research on Training Methods
    • Training Practitioners: Additional Evidence
    • Training Organizational Staff: Additional Evidence
    • Staff Training Summary
  • Staff Coaching
    • Factors that Impact Coaching
    • Experimental Research on Coaching
    • Additional Evidence for Coaching
    • Staff Coaching Summary
  • Evaluation and Fidelity
    • Staff Evaluation for Performance Improvement
    • Organization-Level Fidelity Assessments
    • Factors that Impact Staff Evaluation for Performance Improvement
    • Experimental Research on Evaluation
    • Staff Evaluation for Performance Improvement: Additional Evidence
    • Organization-Level Fidelity Assessments: Additional Evidence
    • Staff Evaluation to Measure Adherence to Research Protocols
    • Evaluation and Fidelity Summary

Chapter 6 Organizational Context and External Influences [404kb pdf]

  • Literature Related to Organizational Components and External Influence
    • Influence Factors at Work
  • Organizational Change and Development
    • Evaluations of Core Organizational Components
  • Summary

Chapter 7 Conclusions and Recommendations [680kb pdf]

  • Findings & Conclusions
  • Implementation and the Status Quo
  • Recommendations for:
    • State and National Policy Makers
    • Research on Implementation
    • Effectiveness Research on Practices and Programs
    • Purveyors of Well-defined Practices and Programs

Appendices [476kb pdf]

  • Appendix A Review Methods
  • Appendix B W.T. Grant Project Literature Review Codebook
  • Appendix C Experimental Studies
  • Appendix D Hypotheses for Advancing Implementation Science

References [356kb pdf]