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. 2023 Oct 19;4:127. doi: 10.1186/s43058-023-00504-5

Table 1.

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

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