| 1. Orientation |
Awareness and interest in innovation. |
Distribution of messages, key figures, and networks approached and informed. |
| 2. Insight |
Understanding and insight into implications for routines. |
Provision of instruction materials using audit methods and performance feedback. |
| 3. Acceptance |
Positive attitude to change, positive intentions/decision to change. |
Adaptation of innovation by target group, identification of resistance to change, involvement of key individuals, pilots and demonstration of feasibility, detection of barriers, and search for solutions. |
| 4. Change |
Actual adoption, try out change in practice, exploratory use, confirmation of value of change. |
Provision of resources, support for skills training, redevelopment of processes, temporary resource support, inventory of barriers, and solution attempts. |
| 5. Maintenance |
New practice integrated into routines/routine use, new practice embedded in organization, sustainability over time. |
Long-term monitoring, feedback and reminder systems, integration into routine pathways, provision of researches, and support from management. |
