Construct Details

ConstructContext - Outer setting
DefinitionOuter setting includes the economic, political, and social context within which an implementing organization resides.
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Community environment

Community Infrastructure

Community Standards



Economic environment



Environmental characteristics

Environmental Stability

External Environment

External factors (e.g., new info technology, perceived status by society, economic recesion, media)

External Policy & Incentives


Government regulatory process

Healthcare System


Inner and Outer Context

Institutional Accomodation

Interorganizational norm setting




Local and state policy

Market Forces

Other practice settings

Outer Context

Outer Setting

Physical activity-friendly environments

Policies & Incentives


Policy, Regulation, Resources, Organization


Political and Professional

Politically feasible


Population Characteristics

Practice Environment

Practice setting characteristics

Prevailing macro conditions

Prevention Delivery system

Prevention support systems

Prevention synthesis and translation system

Problem-Focused Triggers


Professional norms

Quality of Providers

Regulatory conditions

Regulatory environment



Service and access

Service Provider

Service Provision


Social, Cultural and Economic context

Social Determinants of Health

Social Determinants/Context

Social norms

Social roles

Social System

Societal Influence

Sociocultural Factors


System Antecedents for Innovation

System of power, policies

System Policy

System-Level and Contextual Factors


Tension for Change

Triggers to Improve Practice Through Research
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ModelsJohns Hopkins Nursing Evidence-Based Practice Model and Guidelines

Iowa Model of Evidence-Based Practice

Canadian Institutes of Health Research Knowledge Translation within the Research Cycle Model or Knowledge Action Model

Community Based Participatory Research (CBPR)

Conceptual Model of Knowledge Utilization

Conceptualizing Dissemination Research and Activity: Canadian Heart Health Initiative

Blueprint for Dissemination

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

Knowledge Exchange Framework

Real-World Dissemination

Interactive Systems Framework

Critical Realism & the Arts Research Utilization Model (CRARIUM)

Dissemination of Evidence-based Interventions to Prevent Obesity

Pathways to Evidence Informed Policy

Practical, Robust Implementation and Sustainability Model (PRISM)

Consolidated Framework for Implementation Research

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

Exploration, Preparation, Implementation, Sustainment (EPIS) model (Conceptual Model of Evidence-based Practice Implementation in Public Service Sectors)

General theory of implementation

Dynamic Sustainability Framework

Behaviour Change Wheel

Evidence Integration Triangle

Framework for Enhancing the Value of Research for Dissemination and Implementation

Conceptual Framework For The Comparative Analysis of Policy Change

Advancing health disparities research within the health care system

Designing and evaluating interventions to eliminate racial and ethnic disparities in health care

Health Equity Implementation Framework

Greenhalgh Diffusion of Innovations in Service Organizations

EQ-DI Framework

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

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 Models38
MeasureGEM D&I link: Context - Outer setting