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. 2021 Jun 11:2:26334895211020125.
doi: 10.1177/26334895211020125. eCollection 2021 Jan-Dec.

Reflections on the measurement of implementation constructs

Affiliations

Reflections on the measurement of implementation constructs

Michel Wensing. Implement Res Pract. .

Abstract

To advance research and practice, it is crucial to build on validated measures. A wide range of measures for implementation research were identified in seven systematic reviews conducted under the auspices of the project, "Advancing Implementation Science through Measure Development and Evaluation," but many had unclear or limited measurement qualities. In this commentary, I suggest the psychometric paradigm of measurement validation may have to be reconsidered because many determinants and outcomes of interest are defined at higher levels of aggregation than the individual. Nonetheless, the practice of using non-validated measures should be reduced, and measurement validation research should be encouraged. Adaptation of existing measures to different domains, settings, and languages further adds to the need for validation research. Coordination of the development and validation of measures is required to avoid unneeded replication in some domains and lack of measures in others, and to take care that validation research remains instrumental to the purposes of implementation research and practice. Plain language abstract: Many measures for implementation research have limited or unknown qualities. There is thus a need for better measures and targeted research is required to provide those. New studies should use measures of high-quality whenever possible.

Keywords: Measurement; dissemination; implementation; mental health; psychometric; validity.

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Conflict of interest statement

The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Dr. Wensing served as member of the International Advisory Board of the project, “Advancing Implementation Science Through Measure Development and Evaluation,” which yielded the systematic reviews in the Implementation Research and Practice Special Collection entitled, “Systematic Reviews of Methods to Measure Implementation Constructs.” No reimbursement was associated with this role.

References

    1. Clinton-McHarg T., Lin Yoong S., Tzelepis F., Regan T., Fielding A., Skelton E., Kingsland M., Ooi J. Y., Wolfenden L. (2016). Psychometric properties of implementation measures for public health and community settings and mapping of constructs against the Consolidated Framework for Implementation Research: A systematic review. Implementation Science, 11, 148. 10.1186/s13012-016-0512-5 - DOI - PMC - PubMed
    1. Damschroder L. J., Aron D. C., Keith R. E., Kirsh S. R., Alexander J. A., Lowery J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4, 50. 10.1186/1748-5908-4-50 - DOI - PMC - PubMed
    1. Flottorp S. A., Oxman A. D., Krause J., Musila N. R., Wensing M., Godycki-Cwirko M., Baker R., Eccles M. P. (2013). A checklist for identifying determinants of practice: A systematic review and synthesis of frameworks and taxonomies of factors that prevent or enable improvements in healthcare professional practice. Implementation Science, 8, 35. https://implementationscience.biomedcentral.com/articles/10.1186/1748-59... - DOI - PMC - PubMed
    1. Khadjesari Z., Boufkhed S., Vitoratou S., Schatte L., Ziemann A., Daskalopoulou C., Uglik-Marucha E., Sevdalis N., Hull L. (2020). Implementation outcome instruments for use in physical healthcare settings: A systematic review. Implementation Science, 15, 66. 10.1186/s13012-020-01027-6 - DOI - PMC - PubMed
    1. Lewis C. C., Mettert K. D., Dorsey C. N., Martinez R. G., Weiner B. J., Nolen E., Stanick C., Halko H., Powell B. J. (2018). An updated protocol for a systematic review of implementation-related measures. Systematic Reviews, 7, 66. 10.1186/s13643-018-0728-3 - DOI - PMC - PubMed

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