Conceptualizing and Testing Multilevel Mechanisms of Change in Implementation Science

Nathaniel J. Williams, PhD., LCSW
Boise State University

ABSTRACT:
An important step toward the development and targeting of optimally effective, efficient, and feasible implementation strategies involves identification of the mechanisms through which these strategies influence implementation and clinical outcomes. This presentation will provide an overview of the conceptualization, measurement, and analysis of multilevel mechanisms in implementation science with an emphasis on the application of multilevel mediation analysis. Dr. Williams will review the state-of-the-science on testing implementation mechanisms and will illustrate a highly general mediation approach for testing multilevel mechanisms, using as examples studies focused on organizational leadership and organizational social context.