Definition of Proctor’s Implementation Outcomes Framework Adapted to the Study’s Demonstration Project
| Domain | Definition |
|---|---|
| Acceptability | Perception among implementation stakeholders whether the Cherokee Model was agreeable, palatable, or satisfactory. |
| Adoption | Intention, initial decision, or action to employ the Cherokee Model. |
| Appropriateness | Perceived fit, relevance, or compatibility of the Cherokee Model for the health center, including the staff and patients. |
| Cost | Financial impact of an implementation effort. |
| Feasibility | Extent (e.g., low, medium, high) to which the Cherokee Model can be successfully carried out given resources. |
| Fidelity | Extent to which the Cherokee Model can be implemented as it was intended by the Model developers. |
| Penetration | Integration of the Cherokee Model into the health center and its subsystems. |
| Sustainability | Extent to which the Cherokee Model is maintained or institutionalized within the health center’s ongoing, stable operations. |
Note: Adoption and Cost domains were not included in the study.