Model Details

Model NamePractical, Robust Implementation and Sustainability Model (PRISM)
D and/or II>D
Construct Flexibility4
Socio-Ecological LevelsIndividual
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Field of OriginPublic Health

Adaptation and evolution

Adopter/implementer/decision maker characteristics

Barriers and facilitators



Context - Inner setting


Innovation characteristics

Knowledge and Knowledge Synthesis



Maintenance and Sustainability

Outcomes - Health/QOL/Satisfaction/Clinical

Outcomes - Quality Improvement/Practice or Policy Change

Patient/target audience characteristics and needs


Number of Times Cited180
CitationsFeldstein AC, Glasgow RE. A practical, robust implementation and sustainability model (PRISM) for integrating research findings into practice. Jt Comm J Qual Patient Saf 2008;34(4):228–43.
ExamplesBeck A, Bergman DA, Rahm AK, Dearing JW, Glasgow RE. Using implementation and dissemination concepts to spread 21st-century well-child care at a health maintenance organization. Permanente J 2009;13(3):10.

McCreight MS, Rabin BA, Glasgow RE, Ayele RA, Leonard CA, Gilmartin HM, Frank JW, Hess PL, Burke RE, Battaglia CT. Using the Practical, Robust Implementation and Sustainability Model (PRISM) to qualitatively assess multilevel contextual factors to help plan, implement, evaluate, and disseminate health services programs. Transl Behav Med. 2019 Nov 25;9(6):1002-1011. doi: 10.1093/tbm/ibz085

Stephens TN, McGuire-Schwartz M, Rotko L, Fuss A, McKay MM. A learning collaborative supporting the implementation of an evidence-informed program, the "4Rs and 2Ss for children with conduct difficulties and their families". J Evid Based Soc Work. 2014;11(5):511-23. doi: 10.1080/15433714.2013.831007

Trinkley KE, Kahn MG, Bennett TD, Glasgow RE, Haugen H, Kao DP, Kroehl ME, Lin CT, Malone DC, Matlock DD. Integrating the Practical Robust Implementation and Sustainability Model With Best Practices in Clinical Decision Support Design: Implementation Science Approach. J Med Internet Res. 2020 Oct 29;22(10):e19676. doi: 10.2196/19676

[Health Equity] Henderson V, Tossas-Milligan K, Martinez E, Williams B, Torres P, Mannan N, Green L, Thompson B, Winn R, Watson KS. Implementation of an integrated framework for a breast cancer screening and navigation program for women from underresourced communities. Cancer. 2020 May 15;126 Suppl 10:2481-2493. doi: 10.1002/cncr.32843.

[Health Equity] Klepac Pogrmilovic B, Linke S, Craike M. Blending an implementation science framework with principles of proportionate universalism to support physical activity promotion in primary healthcare while addressing health inequities. Health Res Policy Syst. 2021 Jan 18;19(1):6. doi: 10.1186/s12961-020-00672-z.

[Health Equity] Paniagua-Avila A, Fort MP, Glasgow RE, Gulayin P, Hernández-Galdamez D, Mansilla K, Palacios E, Peralta AL, Roche D, Rubinstein A, He J, Ramirez-Zea M, Irazola V. Evaluating a multicomponent program to improve hypertension control in Guatemala: study protocol for an effectiveness-implementation cluster randomized trial. Trials. 2020 Jun 9;21(1):509. doi: 10.1186/s13063-020-04345-8.
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