Methods to Improve the Selection and Tailoring of Implementation Strategies

Powell, Byron J.; Beidas, Rinad S.; Lewis, Cara C.; Aarons, Gregory A.; McMillen, J. Curtis; Proctor, Enola K.; Mandell, David S.

doi:10.1007/s11414-015-9475-6

Cited by 967Health Policy Implementation ScienceHealth Sciences Research and EducationBehavioral Health and Interventions

Methods to Improve the Selection and Tailoring of Implementation Strategies

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Powell, Byron J., Beidas, Rinad S., Lewis, Cara C., Aarons, Gregory A., McMillen, J. Curtis, Proctor, Enola K., Mandell, David S.·2017·The Journal of Behavioral Health Services & Research

DOI 10.1007/s11414-015-9475-6PMC PMC4761530

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Abstract

Implementing behavioral health interventions is a complicated process. It has been suggested that implementation strategies should be selected and tailored to address the contextual needs of a given change effort; however, there is limited guidance as to how to do this. This article proposes four methods (concept mapping, group model building, conjoint analysis, and intervention mapping) that could be used to match implementation strategies to identified barriers and facilitators for a particular evidence-based practice or process change being implemented in a given setting. Each method is reviewed, examples of their use are provided, and their strengths and weaknesses are discussed. The discussion includes suggestions for future research pertaining to implementation strategies and highlights these methods' relevance to behavioral health services and research.

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Creating an implementation plan may help reveal barriers at the community level that could hinder intervention implementation or adherence by participants.
“Creating an ‘implementation plan’ may help reveal barriers at the community level that could hinder intervention implementation or adherence by participants [15, 77].”
From Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature (2023) · cites this paper as [77]
The Introduction (‘Selecting and tailoring discrete strategies to address contextual needs’; page not available) says implementation planning begins by assessing contextual barriers, including features of the setting and stakeholder preferences. The Intervention mapping section also describes a needs assessment informed by community stakeholders. The paper does not specifically say that creating an implementation plan reveals community-level barriers to participants’ adherence. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Recent implementation research has contributed to the development of guidelines for the selection and tailoring of implementation strategies and a comprehensive classification of implementation strategies, but this is rarely done.
“Although recent implementation research has contributed to the development of guidelines for the selection and tailoring [104] as well as a comprehensive classification [105] of implementation strategies, this is rarely done [106].”
From Barriers and facilitators to implementation of evidence-based task-sharing mental health interventions in low- and middle-income countries: a systematic review using implementation science frameworks (2022) · cites this paper as [104]
Early identification of possible barriers outside of an individual's control at the intervention level through an implementation plan may help shape design, helping overcome more systematic barriers from the start.
“Early identification of possible barriers outside of an individual’s control at the intervention level through an implementation plan may help shape design, helping overcome more systematic barriers from the start [15, 77].”
From Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature (2023) · cites this paper as [77]
Few implementation studies appropriately match their implementation and evaluation strategies to contextual factors.
“however, few implementation studies appropriately match their implementation and evaluation strategies to contextual factors.17”
From CFIR simplified: Pragmatic application of and adaptations to the Consolidated Framework for Implementation Research (CFIR) for evaluation of a patient‐centered care transformation within a learning health system (2020) · cites this paper as [17]
Powell and colleagues outlined four primary methods for matching implementation strategies to barriers: conjoint analysis, intervention mapping, concept mapping, group model building.
“Powell and colleagues have outlined four primary methods for matching implementation strategies to barriers (conjoint analysis, intervention mapping, concept mapping, group model building) [62].”
From Ten recommendations for using implementation frameworks in research and practice (2020) · cites this paper as [62]

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Untitled work
Kluger (1998) · doi:10.1002/(sici)1099-1379(199803)19:2

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Research works printed but not linked: 3

[44]Vennix JAM Group Model Building: Facilitating Team Learning Chichester Wiley 1996
[61]Huz S Anderson DF Richardson GP A framework for evaluating systems thinking interventions: An experimental approach to mental health system change System Dynamics Review 1997 13 2 149 169
[83]Institute of Medicine The State of Quality Improvement and Implementation Research: Workshop Summary Washington, DC The National Academies Press 2007

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Authors: Powell, B. J., Beidas, R. S., Lewis, C. C., Aarons, G. A., McMillen, J. C., Proctor, E. K., & Mandell, D. S.
Affiliations: University of North Carolina at Chapel Hill (US)
University of Pennsylvania (US)
Indiana University Bloomington (US)
University of California San Diego (US)
University of Chicago (US)
Washington University in St. Louis (US)
Corresponding author: Powell, Byron J.
ORCID: Powell, Byron J.
Beidas, Rinad S.
Lewis, Cara C.
Aarons, Gregory A.
McMillen, J. Curtis
Proctor, Enola K.
Mandell, David S.
Venue: The Journal of Behavioral Health Services & Research
Publisher: Springer Science and Business Media LLC
Published: 2015-08-21
Volume: 44
Issue: 2
Pages: 177-194
ISSN: 1094-3412 (ISSN-L)
1556-3308
DOI: 10.1007/s11414-015-9475-6
PMC: PMC4761530
OpenAlex: W1603430091
Cited by: 967
References: 118
Citations by year: 2026: 76 · 2025: 103 · 2024: 127 · 2023: 117 · 2022: 152 · 2021: 159 · 2020: 95 · 2019: 68 · 2018: 32 · 2017: 23 · 2016: 11 · 2015: 3
FWCI: 41.96
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: The Journal of Behavioral Health Services & Research (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
eScholarship (California Digital Library) (submittedVersion)
Funders: National Institutes of Health (UL1TR000448)
National Institute of Mental Health (R01MH106175, R01MH106510, R01MH092950, F31MH098478, R01MH103310, K23MH099179, R01MH072961, R25MH080916, T32MH019960)
National Cancer Institute (U54CA155496)
National Institute of Diabetes and Digestive and Kidney Diseases (P30DK092950)
National Center for Research Resources (UL1RR024992)
National Center for Advancing Translational Sciences
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords: implementation strategies, behavioral health interventions, evidence-based practice, barriers and facilitators, concept mapping, group model building, conjoint analysis, intervention mapping, process change, implementation research
MeSH terms: Health Services Needs and Demand, Humans, Mental Health Services, Models, Theoretical, Research, Evidence-Based Practice

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Methods to Improve the Selection and Tailoring of Implementation Strategies

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