Table 1.

Hybrid implementation-effectiveness design elements^a

Pre-implementation	Implementation	Post-implementation
• Identify current practice patterns	• Assess implementation integrity (used as intended)	• Assess acceptance and satisfaction for stakeholders
• Identify barriers and facilitators	• Assess implementation exposure (used at intervention sites)	• Assess clinical impact for all stakeholders
• Assess feasibility	• Identify explanations and solutions for low integrity or intensity	• Adapt and finalize implementation strategy
• Establish implementation plan	• Modify implementation plan	• Assess impact of final implementation strategy

^aAdapted from [64]