IS Navigation: Practitioners

Welcome to the IS Navigation Practitioner page. Here you will find a learning curriculum that introduces the foundational principles and methods of Implementation Science (IS).

What is this?

This curriculum contains material (videos, journal articles, web sites) that are freely available to the public on the internet. The content of the curriculum has been selected and does not include all the material available on the internet. When possible, we have selected content with HIV-specific examples and applications. We will update the curriculum content as new material is made available.

Who is this curriculum for?

HIV Implementation Practitioners (CIPC-ISCI 2022): individual people, the multi-level health service organizations and institutions (city, state, federal), and possible groups (policy-based, interest-based, action-based, practice-based, faith-based) that:

    • Have lived experience with HIV; are people living with HIV.
    • Are interested in using implementation research findings for HIV related work.
    • Directly fund others to implementation HIV programs/treatments in communities.
    • Provide direction, leadership, and technical assistance in how HIV programs/treatments are implemented, monitored, or evaluated in communities.
    • May collaborate and inform implementation research proposals and projects.

Implementation Practitioners (Kirchner et al 2016): people who increase the uptake of an EBP into practice by: (a) applying strategies and tools developed in implementation research and/or (b) working with those with implementation expertise to contextualize evidence-based implementation strategies and improve clinical processes.

Researchers and research teams new to IS: people in academic institutions that are currently engaged in or are planning to engage implementation partners in an implementation project.

How do you use this curriculum?

Self-guided learning: This content is intended to be viewed at your own pace. You may feel overwhelmed with the content and this is expected. Implementation Science has its own language and concepts that take time to learn.

Additional readings for purchase:

The approximate time to view these videos and read suggested readings is 15 hours.

Curriculum Navigation

1. Implementation Science
2. Understanding How Implementation Works
3. Models and Frameworks
4. Identifying and Targeting Determinants
5. Strategies: The STUFF You do
6. Outcomes
7. Plan Your Implementation

Implementation Science

What Is Implementation Science?

This video discusses Dissemination & Implementation Science, how these fields are related and distinct, and definitions for IS common concepts. It introduces the PCORI D&I Framework and the Domains of D&I Research.

Duration: 16 min

Demystifying Implementation Science

The purpose of this talk is to orient attendees to the foundations of Implementation Science with applied examples from HIV prevention and treatment services and research. The learning objectives for this presentation are:

    • Understand what Implementation Science (IS) is and is not
    • Understand how partnerships and health equity are key foci of IS
    • Understand the similarities between Evaluation, Improvement Science, and IS
    • Understand the types of questions that Implementation Science is suited to answer in HIV treatment and prevention
    • Recognize and understand IS methods, which includes models and frameworks, determinants, strategies, and implementation outcomes

Downloadable PDF: Implementation Science Resource Handout

Duration: 69 min

ISCI Implementation Science 101

This video discusses the building blocks of D&I science and examples from HIV research and services are used throughout the presentation.

Duration: 52 min

Suggested Readings

An introduction to IS: https://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-015-0089-9

What is it and why should I care?: https://doi.org/10.1016/j.psychres.2019.04.025

What Is Implementation Science?

This video discusses Dissemination & Implementation Science, how these fields are related and distinct, and definitions for IS common concepts. It introduces the PCORI D&I Framework and the Domains of D&I Research.

Duration: 16 min

Demystifying Implementation Science

The purpose of this talk is to orient attendees to the foundations of Implementation Science with applied examples from HIV prevention and treatment services and research. The learning objectives for this presentation are:

    • Understand what Implementation Science (IS) is and is not
    • Understand how partnerships and health equity are key foci of IS
    • Understand the similarities between Evaluation, Improvement Science, and IS
    • Understand the types of questions that Implementation Science is suited to answer in HIV treatment and prevention
    • Recognize and understand IS methods, which includes models and frameworks, determinants, strategies, and implementation outcomes

Downloadable PDF: Implementation Science Resource Handout

Duration: 69 min

 

ISCI Implementation Science 101

This video discusses the building blocks of D&I science and examples from HIV research and services are used throughout the presentation.

Duration: 52 min

Suggested Readings

An introduction to IS: https://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-015-0089-9

What is it and why should I care?: https://doi.org/10.1016/j.psychres.2019.04.025

Understanding How Implementation Works

Partnerships for Implementation Research & Practice

This video was organized for EHE-funded projects. The speakers discuss the central role of partnerships in IS and in the EHE initiative. The speakers introduce CBPR, define partnerships as an implementation strategy, and describe principles for engaging stakeholders in implementation projects.

Duration: 56min

Equity on the HIV Care Continuum

Formative evaluation and pre-implementation activities offer an opportunity to elicit key information about inequitable health experiences and outcomes that you might not get unless you ask direct questions. Presenters demonstrate how implementation research and health equity research complement each other theoretically; in addition, they provide examples of applying a health equity lens in implementation research to deliver LGBTQ+ affirming care and promote viral suppression through community health worker engagement.

Duration: 86 min

Application of an Anti-racism Lens in the Field of Implementation Science

This video provides guidance for application of an anti-racism lens in the field of IS, focusing on select core elements in implementation research.

Duration: 75 min.

PSMG: Application of an Anti-racism Lens in the Field of Implementation Science.mp4 from Ce-PIM on Vimeo.

Adaptations & Fidelity: 1

This video defines fidelity and adaption, the tension between them in program implementation, and how to plan for adaptations and track them.

Duration: 18 min

Adaptations & Fidelity: 2

This video acknowledges the confusion and inconsistency in defining adaptation. The speakers link fidelity and adaptation to implementation outcomes via standard IS outcomes model.

Duration: 24 min

Guiding and Evaluating Adaptations

This video was organized for EHE-funded research projects. The speakers present an overview of key concepts of adaptations and approaches for planning for them before implementation. Methods to guide and track adaptations are discussed.

Duration: 64 min

Partnerships for Implementation Research & Practice

This video was organized for EHE-funded projects. The speakers discuss the central role of partnerships in IS and in the EHE initiative. The speakers introduce CBPR, define partnerships as an implementation strategy, and describe principles for engaging stakeholders in implementation projects.

Duration: 56min

Exploring Health Equity in IS

This video defines Health Equity, presents two research examples, and ends with reflections on racism in service provision.

Duration: 27 min

Application of an Anti-racism Lens in the Field of Implementation Science

This video provides guidance for application of an anti-racism lens in the field of IS, focusing on select core elements in implementation research.

Duration: 75 min.

PSMG: Application of an Anti-racism Lens in the Field of Implementation Science.mp4 from Ce-PIM on Vimeo.

Adaptations & Fidelity: 1

This video defines fidelity and adaption, the tension between them in program implementation, and how to plan for adaptations and track them.

Duration: 18 min

Adaptations & Fidelity: 2

This video acknowledges the confusion and inconsistency in defining adaptation. The speakers link fidelity and adaptation to implementation outcomes via standard IS outcomes model.

Duration: 24 min

Guiding and Evaluating Adaptations

This video was organized for EHE-funded research projects. The speakers present an overview of key concepts of adaptations and approaches for planning for them before implementation. Methods to guide and track adaptations are discussed.

Duration: 64 min

Models and Frameworks

ImpSci: Theories, Models, and Frameworks

This is a primer that explains why models and frameworks are used in research and the role they play in Implementation Science.

Duration: 9 min

Process of Knowledge Translation

This video introduces the concepts of theories, models, and frameworks in Implementation Science. An applied example in Physical Therapy is discussed.

Duration: 28 min

Suggested Readings

Making sense of theories, models, and frameworks: https://implementationscience.biomedcentral.com/articles/10.1186/s13012-015-0242-0

Web Tools

D&I model selection guide: https://dissemination-implementation.org/index.aspx

Consolidated Framework for Implementation Research: http://www.cfirguide.org/

RE-AIM and PRISM: implementation in context: https://re-aim.org/

 

ImpSci: Theories, Models, and Frameworks

This is a primer that explains why models and frameworks are used in research and the role they play in Implementation Science.

Duration: 9 min

Process of Knowledge Translation

This video introduces the concepts of theories, models, and frameworks in Implementation Science. An applied example in Physical Therapy is discussed

Duration: 28 min

Suggested Readings

Making sense of theories, models, and frameworks: https://implementationscience.biomedcentral.com/articles/10.1186/s13012-015-0242-0

Web Tools

D&I model selection guide: https://dissemination-implementation.org/index.aspx

Consolidated Framework for Implementation Research: http://www.cfirguide.org/

RE-AIM and PRISM: implementation in context: https://re-aim.org/

 

Identifying and Targeting Determinants

What Messes Up Your Implementation?

This is a short video that defines implementation determinants and the Consolidated Framework for Implementation Research (CFIR).

Duration: 4 min

Determinants of Implementation

The presenters discuss determinants of implementation, what CFIR is, and who to use it. An HIV eHealth intervention study example is discussed.

Duration: 28 min  

Suggested Readings

Context Matters in IS:  https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4015-3

CFIR: https://implementationscience.biomedcentral.com/articles/10.1186/1748-5908-4-50

CFIR Outcomes Addendum: https://implementationscience.biomedcentral.com/articles/10.1186/s13012-021-01181-5

 

What Messes Up Your Implementation?

This is a short video that defines implementation determinants and the Consolidated Framework for Implementation Research (CFIR).

Duration: 4 min

Determinants of Implementation

The presenters discuss determinants of implementation, what CFIR is, and who to use it. An HIV eHealth intervention study example is discussed.

Duration: 28 min  

Suggested Readings

Context Matters in IS:  https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4015-3

CFIR: https://implementationscience.biomedcentral.com/articles/10.1186/1748-5908-4-50

CFIR Outcomes Addendum: https://implementationscience.biomedcentral.com/articles/10.1186/s13012-021-01181-5

 

Strategies: The STUFF You Do

Implementation Strategies

This video defines implementation strategies and their categories, describes the process of selecting and tailoring strategies, and provides an example from the field of HIV.

Duration: 23 min  

Implementation Strategy Design

This video presents the experience of NY State Center for Practice Innovation to select and tailor multi-faceted implementation strategies.

Duration: 10 min

Selecting and Operationalizing Strategies

This video discusses an applied example for selecting and operationalizing implementation strategies with a focus on personalized behavioral information technology strategies for Collaborative Care Programs.

Duration: 18 min

Suggested Readings

Getting a Clinical Innovation into Practice: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7239693/

Tracking Implementation Strategies: https://health-policy-systems.biomedcentral.com/articles/10.1186/s12961-017-0175-y

Web Tool

CFIR-ERIC strategy mapping tool: https://cfirguide.org/choosing-strategies/

Implementation Strategies

This video defines implementation strategies and their categories, describes the process of selecting and tailoring strategies, and provides an example from the field of HIV.

Duration: 23 min  

Implementation Strategy Design

This video presents the experience of NY State Center for Practice Innovation to select and tailor multi-faceted implementation strategies.

Duration: 10 min

Selecting and Operationalizing Strategies

This video discusses an applied example for selecting and operationalizing implementation strategies with a focus on personalized behavioral information technology strategies for Collaborative Care Programs.

Duration: 18 min

Suggested Readings

Getting a Clinical Innovation into Practice: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7239693/

Tracking Implementation Strategies: https://health-policy-systems.biomedcentral.com/articles/10.1186/s12961-017-0175-y

Web Tool

CFIR-ERIC strategy mapping tool: https://cfirguide.org/choosing-strategies/

Outcomes

Implementation Outcomes

This video presents how to conceptualize and measure implementation outcomes, as well as the relationship between equity and implementation outcomes. A collaborative behavioral health example is described.

Duration: 33 min

Implementation Outcomes for HIV Interventions

This video describes how implementation outcomes differ by implementation research stage. The HIV implementation outcomes tool developed by ISCI is described. This tool helps to identify and operationalize outcomes in current EHE projects. Three synthetic examples are described.

Duration: 75 min

Suggested Readings

Reframing IS to address inequities in healthcare delivery: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-4975-3

Outcomes for Implementation Research: https://link.springer.com/article/10.1007/s10488-010-0319-7

Implementation Outcomes

This video presents how to conceptualize and measure implementation outcomes, as well as the relationship between equity and implementation outcomes. A collaborative behavioral health example is described.

Duration: 33 min

Implementation Outcomes for HIV Interventions

This video describes how implementation outcomes differ by implementation research stage. The HIV implementation outcomes tool developed by ISCI is described. This tool helps to identify and operationalize outcomes in current EHE projects. Three synthetic examples are described.

Duration: 75 min

Suggested Readings

Reframing IS to address inequities in healthcare delivery: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-4975-3

Outcomes for Implementation Research: https://link.springer.com/article/10.1007/s10488-010-0319-7

Plan Your Implementation

The Implementation Research Logic Model (IRLM)

This video introduces the IRLM as a tool for planning implementation projects. The presenter discusses best practices and examples of completed IRLMs for implementation projects.

Duration: 65 min

The Longitudinal Implementation Strategy Tracking System (LISTS)

This video introduces the tool LISTS and the gap it fills in tracking planned/unplanned changes to strategies in implementation projects. The video discusses how to use this tool and the REDCap data capture interface, which is available to download.

Duration: 53 min

Suggested Readings

The IRLM: https://implementationscience.biomedcentral.com/articles/10.1186/s13012-020-01041-8

Web Tool

The IRLM: https://hivimpsci.northwestern.edu/implementation-research-logic-model/

The Implementation Research Logic Model (IRLM)

This video introduces the IRLM as a tool for planning implementation projects. The presenter discusses best practices and examples of completed IRLMs for implementation projects.

Duration: 65 min

The Longitudinal Implementation Strategy Tracking System (LISTS)

This video introduces the tool LISTS and the gap it fills in tracking planned/unplanned changes to strategies in implementation projects. The video discusses how to use this tool and the REDCap data capture interface, which is available to download.

Duration: 53 min

Suggested Readings

The IRLM: https://implementationscience.biomedcentral.com/articles/10.1186/s13012-020-01041-8

Web Tool

The IRLM: https://hivimpsci.northwestern.edu/implementation-research-logic-model/

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