From: A systematic review of empirical studies examining mechanisms of implementation in health
Term | Definition |
---|---|
Mechanism | Process or event through which an implementation strategy operates to affect desired implementation outcomes. |
Precondition | Factor that is necessary in order for an implementation mechanism to be activated. |
Strategy | Methods used to promote the implementation of an evidence-based practice or program |
Determinant | Also commonly referred to as “barriers” and “facilitators,” a factor that enables or hinders the implementation strategy from eliciting the desired effect. |
Mediator | Intervening variable that may account for the relationship between the implementation strategy and the implementation outcome. |
Moderator | Factor that increase or decrease the level of influence of an implementation strategy. |
Proximal outcome | The product of the implementation strategy that is realized because of its specific mechanism of action, the most immediate, observable outcome in the causal pathway. |
Distal outcome | Outcome that the implementation processes is ultimately intended to achieve, not the most immediate outcome in the causal pathway. |