Implementation evaluation measures and timeline
| Measurement domain | Measure | Implementation stage | ||||
| Explore (stage 1) | Install (stage 2) | Initial implementation (stage 3) | Full implementation and sustainability (stage 4) | |||
| Capacity and needs assessment | Plan and prepare | Trial and refine | Stabilise practice | Practice is routine | ||
| Months 1–3 | Months 4–6 | Months 7–12 | Months 13–24 | Months 25–42 | ||
| Implementation process | ||||||
| Implementation milestones, risk, action | Tracker tool based on NIRN framework90 | · | · | · | · | · |
| ECHO implementation (clinical coaching) | Post-session questionnaires and phone calls | · | · | · | · | · |
| Implementation outcomes (organisational capacity) | ||||||
| Readiness to implement | RMT adapted38 | · | · | · | ||
| Fidelity to EPI model | FEPS-FS26 | · | · | · | ||
| Fidelity to NAVIGATE | Module checklist | · | · | · | · | |
| Staff perceptions of value and feasibility* | CFIR adapted39 40 | · | ||||
| Implementation outcomes (staff capacity) | ||||||
| Staff knowledge and skills | ECHO survey | · | · | · | ||
*Includes perceptions of ECHO support.
CFIR, consolidated framework for implementation research; ECHO, Extension of Community Health Outcomes; EPI, early psychosis intervention; FEPS-FS, First Episode Psychosis Services–Fidelity Scale; NIRN, National Implementation Research Network; RMT, readiness monitoring tool.