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Table 1 Implementation mechanism-related terms and definitions (adapted from [4])

From: A structured approach to applying systems analysis methods for examining implementation mechanisms

Term

Definition

Precondition

Factor that is necessary in order for an implementation mechanism to be activated

Mechanism

Process or event through which an implementation strategy operates to affect desired implementation outcomes

Mediator

Intervening variable that may account for the relationship between the implementation strategy and the implementation outcome (Note: although mechanisms are always mediators, not all mediators are mechanisms)

Moderator

Factor that increases or decreases the level of influence of an implementation strategy

Proximal outcome

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

What the implementation process is ultimately intended to achieve