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QUERI Implementation Research Group

Applying the PARIHS Framework to Implementation of a Complex Evidence-Based Practice


by Christian Helfrich, PhD, MPH
Seminar date: 9/1/2022

Description: As part of a randomized, controlled implementation trial, study researchers conducted a prospective mixed-methods assessment of the implementation strategy, which was team-based peer coaching, as well as factors influencing implementation of the evidence-base practice, which was the trans-radial approach to cardiac catheterization. This work was guided by the PARIHS framework, supplemented with concepts drawn from other implementation or quality improvement literature. In this presentation, Dr. Helfrich will compare and contrast observations about participants’ experiences of implementing the trans-radial approach, and of the coaching intervention with the PARIHS model, and to describe where findings fit with PARIHS and where they differ. He will examine how the PARIHS framework helps to understand the effect team-based coaching had (and did not have) on participants' implementation of the TRA; and conversely, he will explore what findings suggest about the application of PARIHS to an implementation strategy.

Intended Audience: Implementation researchers or those interested in theory related to external facilitation or peer coaching.

View archived session video:



DOWNLOAD: PDF handout | Audio only (mp3) | transcript


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