Practical, Robust Implementation and Sustainability Model (PRISM)

Practical, Robust Implementation and Sustainability Model (PRISM)

D and/or I:
The focus on dissemination and/or implementation activities. D-only focuses on an active approach of spreading evidence-based interventions to target audience via determined channels using planned strategies. D=I, D>I, and I>D means there is some focus on both dissemination and implementation. I-only focuses on process of putting to use or integrating evidence-based interventions within a setting.


Socio-Ecological Levels:
The level of the framework at which the model operates. Individual includes personal characteristics; Organization includes hospitals, service organizations, and factories; Community includes local government and neighborhoods; System includes hospital systems and government; Policy includes changes in policy.


Number of Times Cited:
The # of times the original publication for the model was cited as indicated by Google Scholar since 2016.



Field of Origin:
The field of study in which the model originated.

Public Health


The original publication(s) of the model.

Feldstein 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.

Citations of studies that have used the model as an outline for their study.

Beck 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.

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.

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] 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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