On-the-Go Adaptation of Implementation Approaches and Strategies in Health: Emerging Perspectives and Research Opportunities Article Swipe
Elvin Geng
,
Aaloke Mody
,
Byron J. Powell
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1146/annurev-publhealth-051920-124515
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1146/annurev-publhealth-051920-124515
In many cases, implementation approaches (composed of one or more strategies) may need to change over time to work optimally. We use a literature review to inform a mechanistic analysis of such on-the-go adaptations. We suggest that such adaptations of implementation strategies consist of three necessary steps. The first component is the initial effect of the implementation approach on intended implementation, service delivery, or clinical outcomes. Second, these initial effects must in turn be used to modify, alter, intensify, or otherwise change the implementation approach. Third, the modified approach itself has effects. Conceiving of adaptation as all three steps implies that a full understanding of adaptation involves ( a) a sense of initial effects, ( b) conceptualizing and documenting content and rationale for changes in approach (e.g., alteration, intensification), and ( c) the effects of the changed approach (including how the latter effects depend on initial effects). Conceptualizing these steps can help researchers ask questions about adaptation (e.g., thresholds for change, dosing, potentiation, sequencing) to advance our understanding of implementation strategies.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1146/annurev-publhealth-051920-124515
- https://www.annualreviews.org/doi/pdf/10.1146/annurev-publhealth-051920-124515
- OA Status
- hybrid
- Cited By
- 30
- References
- 60
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4362521242
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4362521242Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1146/annurev-publhealth-051920-124515Digital Object Identifier
- Title
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On-the-Go Adaptation of Implementation Approaches and Strategies in Health: Emerging Perspectives and Research OpportunitiesWork title
- Type
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reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-04-03Full publication date if available
- Authors
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Elvin Geng, Aaloke Mody, Byron J. PowellList of authors in order
- Landing page
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https://doi.org/10.1146/annurev-publhealth-051920-124515Publisher landing page
- PDF URL
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https://www.annualreviews.org/doi/pdf/10.1146/annurev-publhealth-051920-124515Direct link to full text PDF
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YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
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https://www.annualreviews.org/doi/pdf/10.1146/annurev-publhealth-051920-124515Direct OA link when available
- Concepts
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Adaptation (eye), Computer science, Process management, Service delivery framework, Ask price, Risk analysis (engineering), Service (business), Management science, Psychology, Medicine, Business, Neuroscience, Marketing, Finance, EconomicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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30Total citation count in OpenAlex
- Citations by year (recent)
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2025: 8, 2024: 15, 2023: 7Per-year citation counts (last 5 years)
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60Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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