The state of measurement in implementation science

As a new field, implementation science is experiencing instrumentation issues where a large number of measures have been created but have not been sufficiently evaluated to ensure they actually measure what is intended. With the need to measure aspects of implementation strategy process or implementation strategies, many measures have been developed on demand for a particular study with little to no psychometric evaluation.

WATCH: Advancing Implementation Science through Measure Development and Evaluation

Presented by The National Cancer Institute

Additionally, lack of linguistic consensus or clarity combined with a lack of operationalization of the constructs measured limits the field’s ability to make comparisons across studies. This is particularly true given that most measures are developed, used once, and then never used again.

There is extensive work underway in the field to map the measurement landscape and evaluate the strength of the psychometric evidence for measures used. One example of this work is the NIMH-funded Instrument Review Project, headed by Dr. Cara Lewis, where all instruments used in behavioral health to answer implementation science questions are being evaluated for their psychometric and pragmatic strength.

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