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Table 8 Future study questions regarding the concept of facilitation

From: Role of "external facilitation" in implementation of research findings: a qualitative evaluation of facilitation experiences in the Veterans Health Administration

1. To what extent does facilitation mediate the value of other implementation interventions?

2. To what extent does a facilitator role, compared to other implementation interventions, enhance the success of implementation? What is its cost-effectiveness?

3. Can good facilitation, in the form of an external role, help to overcome poor internal leadership?

4. What activities are crucial to the usefulness of external facilitation across different types of sites and projects?

5. Is there a toolkit that would enhance the enactment and implementation of a facilitator role?

6. How can facilitation activities be measured and related to implementation outcomes? [11]

7. Does "more facilitation" result in better implementation outcomes? Under what circumstances? Is there a "dose" effect, and, what constitutes "sufficient" facilitation activities? [11]

8. Are there stages of facilitation activities? If so, are these stages associated with and needed within the different stages of change? [20]

9. What are the similarities of and differences between a facilitator role and a project manager, consultant, and other change agent roles?

10. How does being part of an implementation study team affect the external facilitator role and project effectiveness?

11. What aspects of the external facilitator study role must be replicated by clinical leadership when they plan to use the results of a successful implementation study?