Construct Details

ConstructContext - Inner setting
DefinitionInner setting includes features of structural, political, and cultural contexts through which the implementation process will proceed.
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Edited by Jon 7/12/21
Absorptive Capacity

Absorptive Capacity for new knowledge

Accountability, Reciprocity, Respect

Administrative environment

Attitudes, Motivations, and Readiness towards

Available Resources

Being a learning organization

Broad Context

Bureaucratic Variables

Business Model

Capacity/Needs Assessment


Center Schedules

Centralized decision-making


Climate for Implementation

Climate for Research Use


Community resources


Consensus processes

Context characteristics


Culture Sensitivity

Data and decision support

Dissemination Resources

Educational environment

Environmental Planning

Empirical evidence about effects of intervention components

Fiscal Measure

Features of the Adopting Organization


Identify Multiple Inputs for New Program – Obtain input from community on locally developed programs, community resources, and target population (formative evaluation)

Health System Characteristics

Implementation Climate

Informational Assessment

Info systems

Inner and Outer Context

Inner Setting

Innovation Fit with Users’ Norms and Values

Institution constraints

Integrate Context


Leadership Engagement

Leadership support; culture; evaluation capabilities; receptivity to the targeted innovation/change

Learning Climate


Local Level

Management support

Management support and communication

Material resources


Norms, Values, and Cultures


Organization - implementation

Organization - PSE


Organizational Capacity

Organizational characteristics

Organizational characteristics (Recipients)

Organizational culture

Organizational culture and structure

Organizational decision making

Organizational Factors

Organizational factors (club factors)

Organizational factors influencing implementation

Organizational health and culture

Organizational Incentives & Rewards

Organizational Influence

Organizational Level

Organizational perspective (Program-Intervention)

Organizational Resources

Organizational structures


Overall practice environment

Past Experience

Physical Structure

Policies and Procedures

Partners - Identify optimal community settings


Quality Improvement and Reward

Quality Rating (CO Shines)

Readiness for Change/Capacity to Adopt

Relationships and networks

Research and published guidelines; clinical experiences and perceptions; patient experiences, needs, preferences; local practice information; characteristics of the targeted EBP

Resource allocation


Resources available

Service Organization


Setting—How different are the settings of the trial from the usual care setting?

Shared commitments

Shared goals and cooperation

Social Organization

Staff Retention

Staff training

Staffing and incentives


Structural Characteristics


Structure & Process


Systems and training

System antecedents for innovation - structure: size/maturity, formalization, differentiation, decentralization, slack resources

System antecedents for innovation - absorptive capacity for new knowledge: preexisting knowledge/skills base; ability to find, interpret, recodify, and integrate new knowledge; enablement of knowledge sharing via internal and external networks

System antecedents for innovation – receptive context for change: leadership and vision, good managerial relations, risk-taking climate, clear goals and priorities, high-quality data capture





Workplace Context
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ModelsKnowledge Transfer and Exchange

RAND Model of Persuasive Communication and Diffusion of Medical Innovation

Conceptual Model of Knowledge Utilization

Blueprint for Dissemination

Framework for Analyzing Adoption of Complex Health Innovations

Framework for Spread

Coordinated Implementation Model

Framework for the Dissemination & Utilization of Research for Health-Care Policy & Practice

Framework of Dissemination in Health Services Intervention Research

Health Promotion Research Center Framework

Knowledge Exchange Framework

Real-World Dissemination

Interactive Systems Framework

Push-Pull Capacity Model

Dissemination of Evidence-based Interventions to Prevent Obesity

Precede-Proceed Model

Facilitating Adoption of Best Practices (FAB) Model

Pathways to Evidence Informed Policy

Practical, Robust Implementation and Sustainability Model (PRISM)

Organizational Theory of Innovation Implementation

Implementation Effectiveness Model

Promoting Action on Research Implementation in Health Services (PARIHS)

Consolidated Framework for Implementation Research

Replicating Effective Programs Framework

Availability, Responsiveness & Continuity (ARC): An Organizational & Community Intervention Model

General theory of implementation

Dynamic Sustainability Framework

Behaviour Change Wheel

Pragmatic-Explanatory Continuum Indicator Summary 2

Evidence Integration Triangle

Framework for Enhancing the Value of Research for Dissemination and Implementation

Advancing health disparities research within the health care system

conNECT Framework

Health Equity Implementation Framework

Greenhalgh Diffusion of Innovations in Service Organizations

Weiner organizational readiness

EQ-DI Framework

Adherence Optimization Framework

EMTReK - Evidence-based Model for the Transfer and Exchange of Research Knowledge

Generic Implementation Framework

RE-AIM 2.0/Contextually Expanded RE-AIM

Model for Predictors of Adoption

Transcreation Framework for Community-engaged Behavioral Interventions to Reduce Health Disparities

Dissemination and Implementation Framework for an Early Childhood Obesity Prevention Program

Choosing Wisely Deimplementation Framework

Number of Models45
MeasureGEM D&I link: Context - Inner setting