{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T10:07:07Z","timestamp":1788862027847,"version":"build-2803163510"},"reference-count":45,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Shannon Mitchell","award":["UG1DA050077"],"award-info":[{"award-number":["UG1DA050077"]}]},{"name":"Peter Friedmann","award":["UG1DA050067"],"award-info":[{"award-number":["UG1DA050067"]}]},{"name":"Emily Claypool","award":["UG1DA050066"],"award-info":[{"award-number":["UG1DA050066"]}]},{"name":"Kate Elkington","award":["UG1DA050071"],"award-info":[{"award-number":["UG1DA050071"]}]},{"name":"Bryan Garner","award":["UG1DA050069"],"award-info":[{"award-number":["UG1DA050069"]}]},{"name":"Jennifer Becan","award":["UG1DA050074"],"award-info":[{"award-number":["UG1DA050074"]}]},{"name":"Dennis Watson","award":["UG1DA050065"],"award-info":[{"award-number":["UG1DA050065"]}]},{"name":"Todd Molfenter","award":["U2CDA050097"],"award-info":[{"award-number":["U2CDA050097"]}]},{"name":"Lynda Stein","award":["U01DA050442"],"award-info":[{"award-number":["U01DA050442"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Implementation Research and Practice"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The outcomes of planned implementation efforts have been mixed, with some applications failing to achieve the desired change or impact. While reasons for mixed findings in implementation research are multifaceted (e.g., Damschroder et al., 2009, 2022), how the implementation strategy (IS) was deployed (i.e., integrity) and its impact on the implementation outcomes of evidence-based innovations (EBIs) is under-studied and warrants further clarification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This article builds on the IS fidelity and mechanisms of change literature to create the Implementation Strategy Integrity Framework (ISIF). The ISIF was developed by a set of implementation science researchers in the Justice Community Opioid Innovation Network seeking to document the role of implementation strategies in influencing EBI outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The authors identified four areas of documentation and measurement to examine the role of IS integrity on EBI outcomes. (a) Implementation Strategy Rigor (i.e., adherence, dose, and quality) requires those implementing the strategy\/strategies to specify them, document adherence to the planned strategies, quality of execution, and any adaptations made. (b) Target User Responsiveness documents the extent and quality of targeted users\u2019 participation in IS activities and how well the target users perform their roles in conducting actions intended by the implementation strategies. (c) Target Mechanism Activation notes to what degree the implementation strategies achieved the intended impact(s) on targeted factors that facilitate EBI use. Finally, (d) these three areas are combined with selected Inner and Outer Context variables to explain IS integrity\u2019s potential moderating and mediating effects on EBI outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A framework that can define the integrity of an IS and allow for its subsequent use as an explanatory variable in EBI outcomes is necessary for better elucidating mechanisms of action. The ISIF offers a structured approach to operationalize, measure, and evaluate the application and related impacts of implementation strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26334895241297278","type":"journal-article","created":{"date-parts":[[2024,12,6]],"date-time":"2024-12-06T00:18:32Z","timestamp":1733444312000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A conceptual framework for assessing implementation strategy integrity"],"prefix":"10.1177","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3033-416X","authenticated-orcid":false,"given":"Todd","family":"Molfenter","sequence":"first","affiliation":[{"name":"Center for Health Enhancement System Studies (CHESS), University of Wisconsin\u2013Madison, Madison, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori","family":"Ducharme","sequence":"additional","affiliation":[{"name":"Services Research Branch, National Institute on Drug Abuse, Gaithersburg, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynda","family":"Stein","sequence":"additional","affiliation":[{"name":"Department of Psychology and Department of Behavioral Healthcare, College of Health Sciences, University of Rhode Island, Kingston, RI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Belenko","sequence":"additional","affiliation":[{"name":"Department of Criminal Justice, Temple University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2841-1085","authenticated-orcid":false,"given":"Shannon Gwin","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Friends Research Institute, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7208-5160","authenticated-orcid":false,"given":"Dennis P.","family":"Watson","sequence":"additional","affiliation":[{"name":"Chestnut Health Systems, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew C.","family":"Aalsma","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter D.","family":"Friedmann","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of General Internal Medicine, Baystate Health, Springfield, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer E.","family":"Becan","sequence":"additional","affiliation":[{"name":"College of Science and Engineering, Institute of Behavioral Research, Texas Christian University, Fort Worth, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan R.","family":"Garner","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, The Ohio State University, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Vechinski","sequence":"additional","affiliation":[{"name":"Center for Health Enhancement System Studies (CHESS), University of Wisconsin\u2013Madison, Madison, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alida","family":"Bouris","sequence":"additional","affiliation":[{"name":"Crown Family School of Social Work, Policy and Practice, The University of Chicago, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Claypool","sequence":"additional","affiliation":[{"name":"Crown Family School of Social Work, Policy and Practice, The University of Chicago, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Elkington","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Vagelos College of Physicians and Scientists, New York State Psychiatric Institute, Columbia University, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,5]]},"reference":[{"key":"bibr1-26334895241297278","doi-asserted-by":"publisher","DOI":"10.1186\/s43058-022-00365-4"},{"key":"bibr2-26334895241297278","first-page":"281","volume-title":"Dissemination and implementation research in health: Translating science to practice","author":"Allen J. 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