Factors Associated with Effective Implementation: Research and Practical Implications

  • Melanie BarwickEmail author
  • Raluca Dubrowski
  • Laura Damschroder


There is tremendous value in considering the utility of theories and conceptual frameworks to inform research and practice. This chapter reviews research on the factors within the Consolidated Framework for Implementation Research that are associated with implementation success in studies that represent different settings and interventions: a weight management program in a large integrated US healthcare system; an e-health application in Norway; and a Canadian study of a maternal and child health intervention undertaken in Mali and Ethiopia. We review how these studies identify contextual factors that are associated with effective implementation and, thus, help to differentiate between high and low implementers as well as to highlight factors that can be manipulated throughout the implementation process to improve success. Through a review of these studies, we document how the use of this framework propels our understanding of successful implementation in a way that informs both research and practice.


Conceptual framework Consolidated Framework for Implementation Research External validity 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Melanie Barwick
    • 1
    Email author
  • Raluca Dubrowski
    • 1
  • Laura Damschroder
    • 2
  1. 1.Hospital for Sick ChildrenTorontoCanada
  2. 2.Ann Arbor VA Center for Clinical Management ResearchWashington, DCUSA

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