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Table 2 Definitions of implementation outcomes

From: Adapting a skills-based stroke prevention intervention for communities in Ghana: a qualitative study

Outcome

Definition

Acceptability

The perception among implementation stakeholders (beneficiaries and implementers) that the innovation is agreeable, palatable, or satisfactory

Adoption

(Uptake) The intention, initial decision, or action (here we are interested in the behavioral intention) to try or employ the innovation

Appropriateness

The perceived fit, relevance, or compatibility of the innovation for a given practice setting, provider, or beneficiary; and/or perceived fit of the innovation to address a particular issue or problem (here we are interested in hypertension)

Costs

(Incremental or implementation cost) The cost impact of an implementation effort

Feasibility

The extent to which the innovation can be successfully used or carried out within a given agency or setting

Fidelity

The degree to which the innovation can be implemented as it was prescribed in the original protocol or as it was intended by the program developer

Penetration

The integration of a practice within a service setting and its subsystems

Sustainability

The extent to which a newly implemented innovation is maintained or institutionalized within a service setting’s ongoing, stable operations

  1. Based on Proctor et al.’s framework for implementation outcomes (text in bold emerged within our analysis)