Asaf Bitton

ALT Figure diagramming Re-implementation as it applies to three different circumstances. First step: Evaluate implementation outcomes Second step: Evaluate for circumstances 1. Failed Implementation - Deficits in adoption and fidelity Assess context with a focus on implementation climate and identify failures in implementation. 2. Flawed Intervention - Deficits in acceptability and fidelity Assess context with a focus on intervention characteristics and identify flaws 3. Unsustained intervention - Deficits in feasibility and sustainability Assess context with a focus on readiness for implementation and outer setting and identify factors that contributed to unsustainability Third step: Adapt and tailor to context

ALT Figures showing implementation effectiveness over four periods: Baseline, Implementation, Follow-up, and Re-implementation. Three graphs for effectiveness based on three different circumstances: Failed implementation, Flawed intervention, and Unsustained intervention. In all three cases, intervention effectiveness has initial peak during implementation, falls during follow-up, and peaks higher after Re-implementation.