Construct Details

ConstructBarriers and facilitators
DefinitionIndividual characterstics and contextual factors and strategies that enhance or impede the dissemination and implementation of evidence-based interventions.
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Absence of Obstacles

Additional factors (e.g., information, regulation, incentives, catalysts, public pressure, negotiation, application)

Addresses patient barriers

Adoption and Implementation

Amount of conflict

Available resources to intervention developers


Barriers and facilitators

Change Valence

Change Related Effort

Competing demands




Enabling structures to foster adoption

Environmental Context

External Determinants

Facilitation: External/Internal

Facilitative Administrative Supports


Facillitating pull effforts


Factors Affecting Dissemination

Identify Local Barriers to Implementation

Incentives and Disincentives

Incentives to adopt evidence-based programs

Personal Determinants

Proposed funding change

Proximal Program Objective



Related to Time or Timing

Secure support from decision makers to implement the recommended change internally

Single agency issue

Social Influences

Socio-political and external influence

Support during implementation

Supporting decisions

Transition issues
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ModelsJohns Hopkins Nursing Evidence-Based Practice Model and Guidelines

Knowledge Transfer and Exchange

Conceptual Model of Knowledge Utilization

Conceptualizing Dissemination Research and Activity: Canadian Heart Health Initiative

Blueprint for Dissemination

Framework for Spread

Coordinated Implementation Model

Model for Improving the Dissemination of Nursing Research

Knowledge Exchange Framework

Davis' Pathman-PRECEED Model

Dissemination of Evidence-based Interventions to Prevent Obesity

Precede-Proceed Model

Facilitating Adoption of Best Practices (FAB) Model

Six-Step Framework for International Physical Activity Dissemination

Practical, Robust Implementation and Sustainability Model (PRISM)

Active Implementation Framework

Implementation Effectiveness Model

Pronovost's 4E's Process Theory

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

Theoretical Domains Framework

Intervention Mapping

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

Weiner organizational readiness

Adherence Optimization Framework

Generic Implementation Framework

Model for Predictors of Adoption

Choosing Wisely Deimplementation Framework

Number of Models27