Making, helping, or letting it happen: defining pragmatism in implementation trials.
The hybrid effectiveness-implementation typology has become a cornerstone in implementation science, offering a way to classify studies according to their focus on effectiveness versus implementation outcomes. However, this typology reveals little about how implementation occurs in practice or the d...
| Publicado en: | JBI Evidence Implementation Vol. 24; no. 2; pp. 232 - 236 |
|---|---|
| Autor principal: | |
| Formato: | editorial Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Apr2026
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193096421&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193096421 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26913321 MO0F jtl: JBI Evidence Implementation issn: 26913321 maglogo: N pubinfo: dt: Apr2026 vid: 24 iid: 2 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 193096421 193096421 193096421 10.1097/XEB.0000000000000582 193096421 ppf: 232 ppct: 4 formats: tig: atl: Making, helping, or letting it happen: defining pragmatism in implementation trials. aug: au: Duff, Jed affil: School of Nursing, Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Qld, Australia sug: subj: Implementation Science Philosophy Leadership Health Care Delivery Randomized Controlled Trials Research Personnel Decision Making, Shared ab: The hybrid effectiveness-implementation typology has become a cornerstone in implementation science, offering a way to classify studies according to their focus on effectiveness versus implementation outcomes. However, this typology reveals little about how implementation occurs in practice or the degree to which trials mirror real-world conditions. In this editorial, I argue that implementation trials should also be characterized by their level of pragmatism, defined by how much researcher control, support, or local leadership shapes implementation delivery. Drawing on my experiences with the INPREP, GLOW, and DEFENCE trials, and informed by the work of Greenhalgh and colleagues, I propose three pragmatic orientations—make-it-happen, help-it-happen, and let-it-happen—that reflect increasing contextual autonomy. Explicit reporting of a trial's pragmatic orientation using frameworks such as PRECIS-2-PS—which characterizes trials across domains, including implementation resources, flexibility of provider strategies, and delivery context—would enhance interpretation, synthesis, and scalability. pubtype: Academic Journal doctype: editorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|