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Global Mental Health

Instrumentation

Dissemination and Implementation Science Measures

Evaluation of implementation constructs is a critical component of understanding how to implement, scale up and sustain evidence based mental health treatments in low and middle income (LMIC) settings. A barrier to implementation science research globally is the lack of pragmatic, feasible, demonstrably accurate, and relevant implementation measurement tools. We have worked over the past five years to develop a single instrument designed to measure the major implementation science domains of: Acceptability, Adoption, Appropriateness, Feasibility, Fidelity, Penetration/Reach, Organizational Climate and Culture, and Leadership across multiple stakeholder levels. We have also adapted two additional scales focused on capacity for sustainability (Program Sustainability Assessment Tool; PSAT)[1] and Leadership (Implementation Leadership Scale; ILS)[2]. We have also developed methods to evaluate fidelity to mental health treatment protocols using a 3-tiered system that is more sustainability and pragmatic that audio-recording.

Our scales are based on the following definitions for each domain which were largely adapted from the Proctor et al. 2010 model: 

Our measure was originally developed and piloted in Myanmar and Iraq. We then refined the scales based on local qualitative data, a literature review, and expert feedback. The current versions of the measure and all scales is being tested in Ukraine, Myanmar and Zambia. The measure is available by request. 

Implementation domains across multiple stakeholder levels

Domain

Consumers

Providers

Organization

Policy

Acceptability
Adoption
Appropriateness
Feasibility
Fidelityn/an/an/a
Penetration/Reach
Sustainability or capacity for sustainabilityn/a
Organizational climate and culturen/a
Leadershipn/a