| Development |
Single phase
Identifying evidence base (eg, systematic review)
Identifying or developing theory (eg, scope existing theories and interviewing stakeholders)
Modeling process and outcomes (eg, undertaking a pretrial economic evaluation, focus groups, surveys, and case studies)
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Multiple phases such as contextual inquiry, value specification, and design
Identifying problems and needs of intended users (eg, literature review, field observations, interviews, and workshops)
Determining the most favorable solutions based on the values of the stakeholders
Building prototypes to fit values and user requirements (eg, focus groups and field testing)
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| Feasibility and piloting |
Specific phase for feasibility and piloting
Activities consist of testing procedures for acceptability, determining appropriate sample size, and estimating rates of recruitment
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| Evaluation |
Assessing clinical and cost-effectiveness (eg, randomized controlled trial)
Understanding processes (process evaluation)
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| Implementation |
Getting evidence into practice
Surveillance, monitoring, and long-term outcomes
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Operationalization
Activities to introduce, adopt, and employ the technology in practice (eg, creating a business model)
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