Active Implementation Frameworks
Dean L. Fixsen, Karen A. Blasé
Abstract
Active Implementation Frameworks represent an evidence-based approach to accomplishing the full and effective use of innovations in practice. The six frameworks that comprise Active Implementation are: (1) usable innovations; implementation (2) drivers; (3) stages; and (4) teams; (5) improvement cycles; and (6) systemic change. The bottom-up practice-based development of the Active Implementation Frameworks has been underway since the 1970s. Rigorous tests of usability and effectiveness in practice have generated effective, efficient, and repeatable implementation approaches, methods and tools. These implementation methods have been incorporated into the current version of the Active Implementation Frameworks to make sense of the science and to make use of the best available knowledge to change the behaviour of practitioners, organizations and systems. The frameworks are useful for guiding the work of implementation in typical human service practice settings and for generating testable hypotheses for social sciences to explore.