Eldh et al. propose a double-axis model for implementation in real-world settings.

View profile for Tiffany Neal, PhD, HSPP

Experienced Psychologist | Advocate for Behavioral Health & Education | Championing Implementation Science for Systemic Change

🎙️Furthering the Dialogue: Ideal vs. Real-World Implementation Eldh et al.’s recent letter to the editor in Implementation Science Communications (Vol. 6:113, 2025) offers a thoughtful extension of Nilsen et al.’s proposal to distinguish between implementation efficacy and effectiveness. Rather than viewing implementation along a single-axis continuum, Eldh and colleagues argue for a more nuanced approach—one that reflects the complexity of real-world settings and the blended nature of many interventions. Their proposed double-axis model considers both the implementation intervention and the context in which it unfolds, offering a more pragmatic lens for understanding change. 💡 This commentary advances the conversation by: • Challenging oversimplified models of implementation • Highlighting the need for context-responsive frameworks • Advocating for co-created, empirically validated tools like “Implementation PRECIS” • Encouraging integration with existing evaluation approaches In a field driven by complexity, collaboration, and continuous learning, this piece is a valuable contribution to how we conceptualize and operationalize implementation in practice. 📄 Read the full letter: https://lnkd.in/gxCvvwdk Citation: Eldh, A.C., Bergström, A., Hälleberg-Nyman, M. et al. Nuancing the continuum from ideal to real-world implementation: a letter to the editor on Nilsen et al.. Implement Sci Commun 6, 113 (2025). https://lnkd.in/gxCvvwdk #ImplementationScience #RealWorldImpact #CoCreation #SystemsThinking #HealthcareImprovement #EvaluationMatters #ImplementationPRECIS #EvidenceToAction

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