Implementation Outcome Taxonomy
The Implementation Outcome Taxonomy is a framework defining eight measurable dimensions for assessing implementation success: Acceptability, Adoption, Appropriateness, Feasibility, Fidelity, Implementation Cost, Penetration, and Sustainability. Developed by Proctor et al. (2011), it provides a standardized vocabulary and measurement approach to distinguish implementation process outcomes (how well was the intervention delivered?) from clinical outcomes (did patients get better?). This taxonomy is foundational to implementation science because it acknowledges that an evidence-based intervention can be effective (clinical outcome) but poorly implemented (implementation outcome), or feasible to deliver but not adopted by organizations.
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- Proctor, E. K., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G. A., Bunger, A., ... & Rojas, D. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65-76. · DOI 10.1007/s10488-010-0319-7
- Proctor, E. K., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G. A., Bunger, A., ... & Rojas, D. (2015). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health, 42(2), 123-132. · URL
- Raghavan, R., Bright, C. L., & Shadoin, A. L. (2008). Toward a policy ecology of implementation of evidence-based practices in public mental health settings. Administration and Policy in Mental Health and Mental Health Services Research, 35(3), 142-154. · DOI 10.1186/1748-5908-3-26
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