Table 1 Hybrid implementation-effectiveness design elements^a

• 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