Understanding implementation research

Implementation research (IR) focuses on understanding and closing the gap between evidence-based interventions and practice. Key elements to evaluate include the design of the intervention itself, contextual barriers and enablers to implementation, the use of implementation strategies as well as the...

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Main Authors: Robert Mash, Juliet Nyasulu, Zelra Malan, Lisa Hirschhorn
Format: Article
Language:English
Published: AOSIS 2025-06-01
Series:African Journal of Primary Health Care & Family Medicine
Subjects:
Online Access:https://phcfm.org/index.php/phcfm/article/view/4934
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author Robert Mash
Juliet Nyasulu
Zelra Malan
Lisa Hirschhorn
author_facet Robert Mash
Juliet Nyasulu
Zelra Malan
Lisa Hirschhorn
author_sort Robert Mash
collection DOAJ
description Implementation research (IR) focuses on understanding and closing the gap between evidence-based interventions and practice. Key elements to evaluate include the design of the intervention itself, contextual barriers and enablers to implementation, the use of implementation strategies as well as the achievement of implementation outcomes. This article gives an overview of IR for doctoral-level researchers in the fields of family medicine and primary care. The consolidated framework for IR and socioecological model are considered for making sense of the contextual factors. A typology of implementation strategies is also described to make conceptualisation, reporting and sharing of findings easier. Standard implementation outcomes are described, such as coverage or reach, acceptability, adoption, appropriateness, feasibility, fidelity, costs and sustainability. The RE-AIM framework for implementation outcomes is described. Finally, different study designs are discussed, including hybrid effectiveness-implementation designs and approaches to reporting using the IR logic model.
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series African Journal of Primary Health Care & Family Medicine
spelling doaj-art-b5cc5e4328c14bd499297d210f71801c2025-08-20T02:05:27ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362025-06-01172e1e710.4102/phcfm.v17i2.49341264Understanding implementation researchRobert Mash0Juliet Nyasulu1Zelra Malan2Lisa Hirschhorn3Division of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape TownDivision of Health Systems and Public Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape TownDivision of Family Medicine, University of Namibia, WindhoekDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, ChicagoImplementation research (IR) focuses on understanding and closing the gap between evidence-based interventions and practice. Key elements to evaluate include the design of the intervention itself, contextual barriers and enablers to implementation, the use of implementation strategies as well as the achievement of implementation outcomes. This article gives an overview of IR for doctoral-level researchers in the fields of family medicine and primary care. The consolidated framework for IR and socioecological model are considered for making sense of the contextual factors. A typology of implementation strategies is also described to make conceptualisation, reporting and sharing of findings easier. Standard implementation outcomes are described, such as coverage or reach, acceptability, adoption, appropriateness, feasibility, fidelity, costs and sustainability. The RE-AIM framework for implementation outcomes is described. Finally, different study designs are discussed, including hybrid effectiveness-implementation designs and approaches to reporting using the IR logic model.https://phcfm.org/index.php/phcfm/article/view/4934implementationimplementation researchmethodologymethodsimplementation outcomesimplementation strategiesprimary care
spellingShingle Robert Mash
Juliet Nyasulu
Zelra Malan
Lisa Hirschhorn
Understanding implementation research
African Journal of Primary Health Care & Family Medicine
implementation
implementation research
methodology
methods
implementation outcomes
implementation strategies
primary care
title Understanding implementation research
title_full Understanding implementation research
title_fullStr Understanding implementation research
title_full_unstemmed Understanding implementation research
title_short Understanding implementation research
title_sort understanding implementation research
topic implementation
implementation research
methodology
methods
implementation outcomes
implementation strategies
primary care
url https://phcfm.org/index.php/phcfm/article/view/4934
work_keys_str_mv AT robertmash understandingimplementationresearch
AT julietnyasulu understandingimplementationresearch
AT zelramalan understandingimplementationresearch
AT lisahirschhorn understandingimplementationresearch