{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T06:22:10Z","timestamp":1783059730830,"version":"3.54.6"},"reference-count":32,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Health Serv."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Systematic and data-driven implementation strategy selection is typically a resource-intensive process limited by time and implementation science expertise. Simultaneously, implementation trials often include externally driven timelines. To facilitate the conduct of a multisite hybrid trial, we developed and deployed a tool to facilitate rigorous yet pragmatic implementation mapping for strategy selection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>As part of the HATRICC-US hybrid type II stepped wedge trial, we developed a strategy selection process based on implementation mapping and the Implementation Research Logic Model. The novel process was refined across two sites, tested in two additional sites, and replicated through the remaining sites of the trial. We considered the resources required, duration, alignment with best practices in implementation science, and usefulness to clinical implementation partners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The final rapid implementation mapping process included the following seven steps: Step 1\u2014Data Preparation; Step 2\u2014Determinants and Change Objective Identification; Step 3\u2014Summary Table Development &amp;amp; Internal Member Checking; Step 4\u2014Identification of Implementation Strategies; Step 5\u2014Completion of Implementation Research Logic Model; Step 6\u2014Internal &amp;amp; External Member Checking; and Step 7\u2014Completion of Tailored Implementation Blueprint and Manual.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There are often significant resource barriers that prevent the rapid use of implementation mapping and the IRLM and similar tools in implementation settings. We developed rigorous and rapid methods incorporating both implementation mapping and the IRLM for leveraging pre-implementation data collection to inform implementation efforts while also being responsive to both clinical partners and funding deadlines.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Clinical Trial Registration<\/jats:bold>\n                      : identifier NCT04571749.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/frhs.2026.1782980","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T05:40:16Z","timestamp":1783057216000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Rapid and pragmatic implementation mapping for pre-implementation contextual analysis in multisite implementation trials"],"prefix":"10.3389","volume":"6","author":[{"given":"Laura Ellen","family":"Ashcraft","sequence":"first","affiliation":[{"name":"Division of Epidemiology, Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania","place":["Philadelphia, PA, United States"]},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania","place":["Philadelphia, PA, United States"]},{"name":"Penn Implementation Science Center, University of Pennsylvania","place":["Philadelphia, PA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan A.","family":"Watson","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania","place":["Philadelphia, PA, United States"]},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania","place":["Philadelphia, PA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casey","family":"Vaughan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Vagelos College of Physicians and Surgeons, Columbia University in the City of New York","place":["New York, NY, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sein","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, University of Pennsylvania Perelman School of Medicine","place":["Philadelphia, PA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shimeng","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, University of Pennsylvania Perelman School of Medicine","place":["Philadelphia, PA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan B.","family":"Lane-Fall","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Vagelos College of Physicians and Surgeons, Columbia University in the City of New York","place":["New York, NY, United States"]},{"name":"New York-Presbyterian\/Columbia University Irving Medical Center","place":["New York, NY, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1007\/s11414-015-9475-6","article-title":"Methods to improve the selection and tailoring of implementation strategies","volume":"44","author":"Powell","year":"2017","journal-title":"J Behav Health Serv Res"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s43058-020-00001-z","article-title":"Implementation science made too simple: a teaching tool","volume":"1","author":"Curran","year":"2020","journal-title":"Implement Sci Commun"},{"key":"B3","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1186\/s13012-015-0209-1","article-title":"A refined compilation of implementation strategies: results from the expert recommendations for implementing change (ERIC) project","volume":"10","author":"Powell","year":"2015","journal-title":"Implement Sci"},{"key":"B4","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1186\/s13012-015-0295-0","article-title":"Use of concept mapping to characterize relationships among implementation strategies and assess their feasibility and importance: results from the expert recommendations for implementing change (ERIC) study","volume":"10","author":"Waltz","year":"2015","journal-title":"Implementation Sci"},{"key":"B5","doi-asserted-by":"publisher","first-page":"362","DOI":"10.1007\/s11414-012-9291-1","article-title":"A concept mapping approach to guide and understand dissemination and implementation","volume":"39","author":"Green","year":"2012","journal-title":"J Behav Health Serv Res"},{"key":"B6","doi-asserted-by":"publisher","first-page":"209","DOI":"10.3389\/fpubh.2019.00209","article-title":"Intervention mapping: theory- and evidence-based health promotion program planning: perspective and examples","volume":"7","author":"Fernandez","year":"2019","journal-title":"Front Public Health"},{"key":"B7","doi-asserted-by":"publisher","first-page":"158","DOI":"10.3389\/fpubh.2019.00158","article-title":"Implementation mapping: using intervention mapping to develop implementation strategies","volume":"7","author":"Fernandez","year":"2019","journal-title":"Front Public Health"},{"key":"B8","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1186\/s13012-020-01041-8","article-title":"The implementation research logic model: a method for planning, executing, reporting, and synthesizing implementation projects","volume":"15","author":"Smith","year":"2020","journal-title":"Implement Sci"},{"key":"B9","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1186\/s13012-019-0861-y","article-title":"The health equity implementation framework: proposal and preliminary study of hepatitis C virus treatment","volume":"14","author":"Woodward","year":"2019","journal-title":"Implement Sci"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1288726","DOI":"10.3389\/fpubh.2023.1288726","article-title":"Editorial: implementation mapping for selecting, adapting and developing implementation strategies","volume":"11","author":"Fernandez","year":"2023","journal-title":"Front Public Health"},{"key":"B11","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1513\/AnnalsATS.202005-571OC","article-title":"Improving prone positioning for severe acute respiratory distress syndrome during the COVID-19 pandemic. An implementation-mapping approach","volume":"18","author":"Klaiman","year":"2021","journal-title":"Ann Am Thorac Soc"},{"key":"B12","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1186\/s13012-021-01131-1","article-title":"Handoffs and transitions in critical care\u2014understanding scalability: study protocol for a multicenter stepped wedge type 2 hybrid effectiveness-implementation trial","volume":"16","author":"Lane-Fall","year":"2021","journal-title":"Implementation Sci"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13012-016-0536-x","article-title":"The tailored implementation in chronic diseases (TICD) project: introduction and main findings","volume":"12","author":"Wensing","year":"2017","journal-title":"Implement Sci"},{"key":"B14","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13012-022-01245-0","article-title":"The updated consolidated framework for implementation research based on user feedback","volume":"17","author":"Damschroder","year":"2022","journal-title":"Implement Sci"},{"key":"B15","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1186\/s13012-021-01181-5","article-title":"Conceptualizing outcomes for use with the consolidated framework for implementation research (CFIR): the CFIR outcomes addendum","volume":"17","author":"Damschroder","year":"2022","journal-title":"Implementation Sci"},{"key":"B16","first-page":"106","article-title":"Ecological systems theory (1992)","volume-title":"Making Human Beings Human: Bioecological Perspectives on Human Development","author":"Bronfenbrenner","year":"2005"},{"key":"B17","first-page":"1003","volume-title":"The Behaviour Change Wheel. A Guide to Designing Interventions","author":"Michie","year":"2014"},{"key":"B18","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1186\/s13012-019-0892-4","article-title":"Choosing implementation strategies to address contextual barriers: diversity in recommendations and future directions","volume":"14","author":"Waltz","year":"2019","journal-title":"Implement Sci"},{"key":"B19","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1186\/s12955-023-02143-9","article-title":"Implementation of child-centred outcome measures in routine paediatric healthcare practice: a systematic review","volume":"21","author":"Scott","year":"2023","journal-title":"Health Qual Life Outcomes"},{"key":"B20","doi-asserted-by":"publisher","first-page":"S48","DOI":"10.1089\/chi.2021.0177","article-title":"Design and approach of the healthy weight clinic pediatric weight management intervention package and implementation: massachusetts-CORD 3.0","volume":"17","author":"Fiechtner","year":"2021","journal-title":"Child Obes"},{"key":"B21","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1186\/s43058-023-00394-7","article-title":"Provider perspectives on clinical decision support to improve HIV prevention in pediatric primary care: a multiple methods study","volume":"4","author":"Pickel","year":"2023","journal-title":"Implement Sci Commun"},{"key":"B22","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1186\/s43058-023-00503-6","article-title":"A stakeholder-developed logic model to improve utilization of pharmacy-prescribed contraception in Utah","volume":"4","author":"Simmons","year":"2023","journal-title":"Implement Sci Commun"},{"key":"B23","doi-asserted-by":"publisher","first-page":"1515","DOI":"10.1186\/s12913-022-08945-9","article-title":"Using the implementation research logic model to design and implement community-based management of possible serious bacterial infection during COVID-19 pandemic in Ethiopia","volume":"22","author":"Tiruneh","year":"2022","journal-title":"BMC Health Serv Res"},{"key":"B24","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1186\/s43058-022-00337-8","article-title":"Developing an implementation research logic model: using a multiple case study design to establish a worked exemplar","volume":"3","author":"Czosnek","year":"2022","journal-title":"Implement Sci Commun"},{"key":"B25","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1186\/s43058-022-00358-3","article-title":"The mechanics of implementation strategies and measures: advancing the study of implementation mechanisms","volume":"3","author":"Lewis","year":"2022","journal-title":"Implement Sci Commun"},{"key":"B26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13012-020-00983-3","article-title":"A systematic review of empirical studies examining mechanisms of implementation in health","volume":"15","author":"Lewis","year":"2020","journal-title":"Implement Sci"},{"key":"B27","doi-asserted-by":"publisher","first-page":"136","DOI":"10.3389\/fpubh.2018.00136","article-title":"From classification to causality: advancing understanding of mechanisms of change in implementation science","volume":"6","author":"Lewis","year":"2018","journal-title":"Front Public Health"},{"key":"B28","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1186\/s13012-021-01169-1","article-title":"Letter to the editor on \u201cthe implementation research logic model: a method for planning, executing, reporting, and synthesizing implementation projects\u201d (Smith JD, Li DH, Rafferty MR. The implementation research logic model: a method for planning, executing, reporting, and synthesizing implementation projects. Implement sci. 2020;15 (1):84. Doi: 10.1186\/s13012-020-01041-8)","volume":"16","author":"Sales","year":"2021","journal-title":"Implement Sci"},{"key":"B29","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1186\/1748-5908-8-139","article-title":"Implementation strategies: recommendations for specifying and reporting","volume":"8","author":"Proctor","year":"2013","journal-title":"Implement Sci"},{"key":"B30","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1186\/s13012-018-0729-6","article-title":"Theory-based development of an implementation intervention to increase HPV vaccination in pediatric primary care practices","volume":"13","author":"Garbutt","year":"2018","journal-title":"Implement Sci"},{"key":"B31","doi-asserted-by":"publisher","first-page":"872746","DOI":"10.3389\/fpubh.2022.872746","article-title":"Implementation mapping to plan for a hybrid trial testing the effectiveness and implementation of a behavioral intervention for HIV medication adherence and care retention","volume":"10","author":"Hoskins","year":"2022","journal-title":"Front Public Health"},{"key":"B32","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1186\/1748-5908-8-51","article-title":"Evaluation of a large-scale weight management program using the consolidated framework for implementation research (CFIR)","volume":"8","author":"Damschroder","year":"2013","journal-title":"Implement Sci"}],"container-title":["Frontiers in Health Services"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/frhs.2026.1782980\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T05:40:17Z","timestamp":1783057217000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/frhs.2026.1782980\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,3]]},"references-count":32,"alternative-id":["10.3389\/frhs.2026.1782980"],"URL":"https:\/\/doi.org\/10.3389\/frhs.2026.1782980","relation":{},"ISSN":["2813-0146"],"issn-type":[{"value":"2813-0146","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,3]]},"article-number":"1782980"}}