TY - JOUR
T1 - AIMD
T2 - a validated, simplified framework of interventions to promote and integrate evidence into health practices, systems, and policies
AU - Bragge, Peter
AU - Grimshaw, Jeremy M.
AU - Lokker, Cynthia
AU - Colquhoun, Heather
AU - The AIMD Writing/Working Group
AU - Albrecht, Lauren
AU - Baron, Justine
AU - Dadich, Ann
AU - Damschroder, Laura
AU - Danko, Kristin
AU - Fernandez, Maria E.
AU - Flottorp, Signe Agnes
AU - Gainforth, Heather L.
AU - Gooding, Kate
AU - Graham, Ian D.
AU - Hempel, Susanne
AU - Kitto, Simon
AU - Leeman, Jennifer
AU - Mazza, Danielle
AU - McKibbon, Ann
AU - Michie, Susan
AU - Nuckols, Teryl
AU - Ovretveit, John
AU - Peters, Gjalt Jorn Y.
AU - Sax, Hugo
AU - Scott, Shannon D.
AU - Stevens, Kathleen R.
AU - Wilson, Michael G.
N1 - Copyright the Author(s) 2017. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.
PY - 2017/3/4
Y1 - 2017/3/4
N2 - Background: Proliferation of terms describing the science of effectively promoting and supporting the use of research evidence in healthcare policy and practice has hampered understanding and development of the field. To address this, an international Terminology Working Group developed and published a simplified framework of interventions to promote and integrate evidence into health practices, systems, and policies. This paper presents results of validation work and a second international workgroup meeting, culminating in the updated AIMD framework [Aims, Ingredients, Mechanism, Delivery]. Methods: Framework validity was evaluated against terminology schemas (n = 51); primary studies (n = 37); and reporting guidelines (n = 10). Framework components were independently categorized as fully represented, partly represented, or absent by two researchers. Opportunities to refine the framework were systematically recorded. A meeting of the expanded international Terminology Working Group updated the framework by reviewing and deliberating upon validation findings and refinement proposals. Results: There was variation in representativeness of the components across the three types of literature, in particular for the component 'causal mechanisms'. Analysis of primary studies revealed that representativeness of this concept lowered from 92 to 68% if only explicit, rather than explicit and non-explicit references to causal mechanisms were included. All components were very well represented in reporting guidelines, however the level of description of these was lower than in other types of literature. Twelve opportunities were identified to improve the framework, 9 of which were operationalized at the meeting. The updated AIMD framework comprises four components: (1) Aims: what do you want your intervention to achieve and for whom? (2) Ingredients: what comprises the intervention? (3) Mechanisms: how do you propose the intervention will work? and (4) Delivery: how will you deliver the intervention? Conclusions: The draft simplified framework was validated with reference to a wide range of relevant literature and improvements have enhanced useability. The AIMD framework could aid in the promotion of evidence into practice, remove barriers to understanding how interventions work, enhance communication of interventions and support knowledge synthesis. Future work needs to focus on developing and testing resources and educational initiatives to optimize use of the AIMD framework in collaboration with relevant end-user groups.
AB - Background: Proliferation of terms describing the science of effectively promoting and supporting the use of research evidence in healthcare policy and practice has hampered understanding and development of the field. To address this, an international Terminology Working Group developed and published a simplified framework of interventions to promote and integrate evidence into health practices, systems, and policies. This paper presents results of validation work and a second international workgroup meeting, culminating in the updated AIMD framework [Aims, Ingredients, Mechanism, Delivery]. Methods: Framework validity was evaluated against terminology schemas (n = 51); primary studies (n = 37); and reporting guidelines (n = 10). Framework components were independently categorized as fully represented, partly represented, or absent by two researchers. Opportunities to refine the framework were systematically recorded. A meeting of the expanded international Terminology Working Group updated the framework by reviewing and deliberating upon validation findings and refinement proposals. Results: There was variation in representativeness of the components across the three types of literature, in particular for the component 'causal mechanisms'. Analysis of primary studies revealed that representativeness of this concept lowered from 92 to 68% if only explicit, rather than explicit and non-explicit references to causal mechanisms were included. All components were very well represented in reporting guidelines, however the level of description of these was lower than in other types of literature. Twelve opportunities were identified to improve the framework, 9 of which were operationalized at the meeting. The updated AIMD framework comprises four components: (1) Aims: what do you want your intervention to achieve and for whom? (2) Ingredients: what comprises the intervention? (3) Mechanisms: how do you propose the intervention will work? and (4) Delivery: how will you deliver the intervention? Conclusions: The draft simplified framework was validated with reference to a wide range of relevant literature and improvements have enhanced useability. The AIMD framework could aid in the promotion of evidence into practice, remove barriers to understanding how interventions work, enhance communication of interventions and support knowledge synthesis. Future work needs to focus on developing and testing resources and educational initiatives to optimize use of the AIMD framework in collaboration with relevant end-user groups.
KW - Dissemination and implementation
KW - Framework validation
KW - Healthcare quality improvement
KW - Implementation science
KW - Knowledge translation
UR - http://www.scopus.com/inward/record.url?scp=85014462123&partnerID=8YFLogxK
U2 - 10.1186/s12874-017-0314-8
DO - 10.1186/s12874-017-0314-8
M3 - Article
C2 - 28259155
AN - SCOPUS:85014462123
SN - 1471-2288
VL - 17
SP - 1
EP - 11
JO - BMC Medical Research Methodology
JF - BMC Medical Research Methodology
IS - 1
M1 - 38
ER -