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Construct Details

ConstructContext - Outer setting
DefinitionOuter setting includes the economic, political, and social context within which an implementing organization resides.
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Community environment

Community Infrastructure

Community Standards



Economic environment



Environmental characteristics

External Environment

External factors (e.g., new info technology, perceived status by society, economic recesion, media)

External Policy & Incentives


Government regulatory process



Local and state policy

Outer Context

Outer Setting

Physical activity-friendly environments

Policies & Incentives


Policy, Regulation, Resources, Organization


Political and Professional

Politically feasible


Practice Environment

Practice setting characteristics

Prevention Delivery system

Prevention support systems

Prevention synthesis and translation system

Problem-Focused Triggers


Professional norms

Regulatory conditions

Regulatory environment


Service and access

Service Provider


Social Determinants of Health

Social Determinants/Context

Social norms

Social roles

Social System

Sociocultural Factors


System Antecedents for Innovation

System Policy

System-Level and Contextual Factors


Tension for Change

Triggers to Improve Practice Through Research
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ModelsAvailability, Responsiveness & Continuity (ARC): An Organizational & Community Intervention Model
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Blueprint for Dissemination

Canadian Institutes of Health Research Knowledge Translation within the Research Cycle Model or Knowledge Action Model

Community Based Participatory Research (CBPR)

Conceptual Model for the Diffusion of Innovations in Service Organizations

Conceptual Model of Evidence-based Practice Implementation in Public Service Sectors

Conceptual Model of Knowledge Utilization

Conceptualizing Dissemination Research and Activity: Canadian Heart Health Initiative

Consolidated Framework for Implementation Research
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Coordinated Implementation Model

Critical Realism & the Arts Research Utilization Model (CRARIUM)

Dissemination of Evidence-based Interventions to Prevent Obesity

Framework for Spread

Framework for the Dissemination & Utilization of Research for Health-Care Policy & Practice

Framework of Dissemination in Health Services Intervention Research

General theory of implementation

Interactive Systems Framework

Iowa Model of Evidence-Based Practice
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Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines

Knowledge Exchange Framework

Pathways to Evidence Informed Policy
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Practical, Robust Implementation and Sustainability Model (PRISM)

Real-World Dissemination
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Number of Models23
MeasureGEM D&I link: Context - Outer setting