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Table 1 Proctor et al. (2011) Implementation Domains

From: Implementation of a group-based diabetes prevention program within a healthcare delivery system

Adoption

The intention, initial decision, or action to try or employ an innovation or evidence-based practice

Penetration

The integration of a practice within a service setting and its subsystems

Acceptability

The perception among implementation stakeholders that a given treatment, service, practice, or innovation is agreeable, palatable, or satisfactory

Appropriateness

The perceived fit, relevance, or compatibility of the innovation or evidence-based practice for a given practice setting, provider, or consumer; and/or perceived fit of the innovation to address a particular issue or problem

Feasibility

The extent to which a new treatment, or an innovation, can be successfully used or carried out within a given agency or setting

Fidelity

The degree to which an intervention was implemented as it was prescribed in the original protocol or as it was intended by the program developers

Costs

The cost impact of an implementation effort

Sustainability

The extent to which a newly implemented treatment is maintained or institutionalized within a service setting’s ongoing, stable operations