In general, these approaches agree on external, reusable and component-based feedback loops implementations, rather than on internal, monolithic, and intertwined implementations (Cheng et al. 2009; Huebscher and McCann 2008; Salehie and Tahvildari 2009).
Finally, one paper focused on the acceptability of the training used to prepare staff for implementation, rather than focusing on implementation of CCM per se [ 43].
This process also has a strong bias towards "facilitated" implementation rather than relying solely on spontaneous replication.
"I hope that whatever the outcome of the May 2015 general election, parties will focus in these areas on implementation rather than further change.
Given that the focus was on implementation, rather than study outcomes, not all aspects of the PRISMA statement were adopted.
Finally, to focus on implementation rather than efficacy, there was minimal contact between researchers and provider teams or patients during Phase II testing.
Studies which looked at the barriers or factors affecting implementation, rather than the effects of interventions themselves on outcomes, were also excluded.
There have been sustained calls for the next generation of collaborative care trials to focus on tests of implementation rather than tests of effectiveness [ 34, 35].
Furthermore, participants thought that it was more effective to engage users in implementation rather than have an external entity impose guidelines on them, and that users represented the most influential type of intermediary.
We also note that this study focused on the process of suboptimal implementation rather than failure to initiate or early discontinuation.
