Because health delivery schemes are difficult to study with randomized controlled trials, other epidemiologic approaches contribute to the "implementation sciences" for assessing facilitators and barriers to uptake and implementation of evidence-based recommendations.
A design research perspective then led to iterative improvements in the design of these activities, strategies for their implementation, and strategies for assessing student work to promote effective learning across multiple learning objectives.
The findings of this study suggest four key recommendations for developing and assessing theory-derived measures of implementation processes useful for assessing complex healthcare interventions in practice.
In addition, assessment of the implementation processes is essential for assessing internal and external validity of the intervention.
The results were seldom organized in a way that assisted this assessment: more work is required to set clear criteria for assessing implementation attainment levels.
Customer baseline load (CBL) estimation is an important issue in the implementation of DR programs for assessing the performance of DR programs and designing economic compensation mechanisms.
The summaries included a description of MOVE! treatment components for assessing implementation effectiveness.
The clear separation between the interaction model and the implementation is also helpful for assessing the validity of the Qualitative networks approach to modeling biological systems.
The development of structured tools for assessing implementation processes, which take account of this complex interplay between interventions, individual actions, and context, would represent an advance in applying theory to understand and address implementation problems in practice.
Therefore, before implementation of this approach for assessing effectiveness of treatment, we need to assess the validity of the results from studies using such databases and of the study design and analytical strategies that are most likely to yield valid results.
