Skip to main content

Table 5 Partially transferable measures identified in studies of health policy implementation (n = 23)

From: Quantitative measures of health policy implementation determinants and outcomes: a systematic review

Tool nameNumber of itemsDevelopment
Author, year
Empirical use
Author, year
Setting/topic, country
Implementation outcomes and determinants assessedPragmatic PAPERS scoreaPsychometric properties assessed
Carasso User Fee Removal Questionnaire18Carasso et al. 2012 [64]Carasso et al. 2012 [64]
Healthcare, Zambia
Organizational culture/climate, readiness to implement10Normsb
Domain-Specific Innovativeness6Adapted from Goldsmith 1991 [65]Webster et al. 2013 [66]
Schools, physical activity, USA
Adoption10Norms, internal consistency
Evidence-Based Practice Attitude Scale15Aarons et al. 2010 [67]Gill et al. 2014 [68], Beidas et al. 2013 [52]
Mental health, USA, Canada
Acceptability, feasibility12Norms, internal consistency, structural validityb
Environmental Assessment Instrument133Lavinghouze et al. 2009 [69]Lavinghouze et al. 2009 [69]
Oral health, USA
Organizational culture/climate, champions, readiness to implement, structure of organization, actor relationships/networks, visibility of policy role/actors, political will for implementation16Norms
Health Enhancing Physical Activity Policy Audit Tool75Bull et al. 2014 [70]Bull et al. 2015 [71]
Physical activity, Europe
Readiness to implement, actor relationships/networks, political will for implementation, target population characteristics affecting implementation12Norms
Fall Prevention Coalition Survey203Schneider et al. 2016 [72]Schneider et al. 2016 [72]
Community, injury prevention, USA
Organizational culture/climate, champions, readiness to implement, actor relationships/network, visibility policy actors7Norms
Health Disparities Collaborative Staff Survey21Helfrich et al. 2007 [73]Helfrich et al. 2007 [73]
Healthcare, chronic disease, USA
Appropriateness, feasibility, adaptability, organizational climate/culture8Not reported
Healthy Cities Questionnaire125Donchin et al. 2006 [74]Donchin et al. 2006 [74]
Community, health promotion, Israel
Communication of policy, leadership for implementation, resources (non-training), actor relationships/networks, visibility of policy role/actors, political will for implementation10Normsb
Konduri Disease Registry Survey12Were et al. 2010 [75]Konduri et al. 2017 [76]
Hospital/clinics, tuberculosis, Ukraine
Acceptability, feasibility, readiness to implement11Norms, internal consistency
Local Wellness Policy Survey39McDonnell and Probart 2008 [77]McDonnell and Probart 2008 [77]
Schools—nutrition, physical activity, USA
Acceptability, readiness to implement, actor relationships/networks10Norms
Logical Assessment Matrix9Mersini et al. 2017 [78]Mersini et al. 2017 [78]
Nutrition, Albania
Adoption, costs of implementation, penetration, target population characteristics affecting implementation13Not reported
Maternal Child and Newborn Health Indicators13Cavagnero et al. 2008 [79]Cavagnero et al. 2008 [79]
Healthcare, global
Penetration, cost7Not reported
Organizational Readiness for Change125Lehman et al. 2002 [80]Lau and Brookman-Frazee 2016 [45]
Gill et al. 2014 [68]
Mental health, USA
Organizational culture/climate14Norms
Perceived Attributes of Physical Activity Promotion in the Academic Classroom (PAPAC)18Adapted from Pankratz et al. 2002 [81]Webster et al. 2018 [66]
Schools, physical activity, USA
Appropriateness, feasibility, complexity, relative advantage10Normsb
Perceived Characteristics of Intervention Scale20Cook et al. 2015 [82]Lau and Brookman-Frazee 2016 [45]
Mental health, USA
Appropriateness, feasibility, adaptability, readiness to implement, relative advantage13Norms, structural validityb
Probart School Wellness Survey39Probart et al. 2010 [83]; Probart et al. 2008 [84]; McDonnell and Probart 2008 [77]Probart et al. 2010
Schools, nutrition, physical activity, USA
Adoption, cost, fidelity/compliance, adaptability, organizational climate/culture9Norms, internal consistency
Rakic Quality and Safety Survey50Rakic et al. 2018 [85]Rakic et al. 2018 [85]
Healthcare QI, Bosnia and Herzegovina
Acceptability, appropriateness, feasibility, complexity, organizational culture/climate, readiness to implement, actor relationships/networks10Norms
Rozema Outdoor Smoking Ban Survey14Rozema et al. 2018 [86]Rozema et al. 2018 [86]
Schools, tobacco, Netherlands
Fidelity/compliance, organizational culture/climate, readiness to implement14Norms, internal consistency
School Tobacco Policy Index40Barbero et al. 2013 [87]Barbero et al. 2013 [87]
Schools, tobacco, USA
Fidelity/compliance, communication of policy, resources (non-training), visibility of policy role/actors17Norms
Specialty Care Transformation Survey26Williams et al. 2017 [88]Williams et al. 2017 [88]
Healthcare, access to care, USA
Appropriateness, organizational culture/climate, readiness to implement, leadership for implementation10Norms
Spencer Quality Improvement Survey120Spencer and Walshe 2009 [89]Spencer and Walshe 2009 [89]
Healthcare, quality improvement, European Union
Readiness to implement, leadership for implementation, actor relationships/networks8Norms
Tobacco Industry Interference Index20Assunta and Dorotheo 2016 [90]Assunta and Dorotheo 2016 [90]
Tobacco, Southeast Asia
Policy implementation climate, visibility of policy role/actors, political will for implementation13Not reported
Tummers’ Diagnosis Related Group Policy Survey 221Tummers 2012 [91]Tummers and Bekkers 2014 [92]
Mental or behavioral health, Netherlands
Acceptability, adoption, appropriateness, feasibility, adaptability, champions, organizational culture/climate, relative priority, readiness to implement11Normsb
  1. Partially transferable measures are defined here as those in which 25 to < 75% of items can readily be used in multiple settings without change or by changing only the referent (i.e., policy name, setting)
  2. QI quality improvement
  3. aPragmatic PAPERS score—Psychometric and Pragmatic Evidence Rating Scale [11, 41, 42], five domains assessed: brevity (score based on number of items), language simplicity, burden/ease of interpretation of scoring, and training burden, total possible score 20, higher numbers indicate greater ease to use the measure
  4. bAdditional subscale level psychometric properties were reported