Table 6.

Dissemination outcome constructs, suggested definition, frequency of construct across frameworks, and other names in the literature

Outcome construct	Suggested definition	Total frequency	Other names in the literature
Awareness	The user/audience being cognizant of the information or communication	8	Awareness
Reception	The audience must give attention to reading the incoming message	2	Reception
Persuasion	When an individual forms a favorable or unfavorable attitude towards the innovation	3	Persuasion
Emotion reactions	Emotional state at the time of the message encounter and by feelings induced by the message	3	Affective reactions
Decision	Choices to accept or reject an innovation that are made by an individual independent of the decisions of the other members of the system	5	Decision, rationale
Knowledge gained	Knowledge gain when an individual or group of people learn about the innovation	3	Knowledge gained
Knowledge utilization	Knowledge and skills to engage with the innovation	11	Knowledge utilization
Changes in policy	Structural changes to facilitate the uptake of the innovation	8	Changes in policy, economics
Adoption	The individual or organization engages in a number of activities that will lead to the research evidence being integrated into clinical practice and/or policy decisions	4	Adoption
Fidelity	To what extent were the various intervention components delivered as intended (in the protocol)	1	Fidelity, adherence
Confirmation	When an individual or an organization seeks reinforcement of an innovation decision that has already been made	2	Confirmation
Accountability	Establishing clear responsibilities and expectations for stakeholders	3	Accountability
Impact	When the uptake of the innovation has tangible benefits	5	Impact
Maintenance, long-term outcome	The extent to which a program or policy becomes institutionalized or part of the routine organizational practices and policies	3	Maintenance
Cost	Cost of the dissemination process	5	Cost