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Table 1 Hybrid implementation-effectiveness design elementsa

From: Protocol for the “Implementation, adoption, and utility of family history in diverse care settings” study

Pre-implementation Implementation Post-implementation
• Identify current practice patterns • Assess implementation integrity (used as intended) • Assess acceptance and satisfaction for stakeholders
• Identify barriers and facilitators • Assess implementation exposure (used at intervention sites) • Assess clinical impact for all stakeholders
• Assess feasibility • Identify explanations and solutions for low integrity or intensity • Adapt and finalize implementation strategy
• Establish implementation plan • Modify implementation plan • Assess impact of final implementation strategy
  1. aAdapted from [64]