Promoting Action on Research Implementation in Health Services (PARiHS) Framework: Application to the Fracture Fighters Program

The purpose of this thesis is to apply the Promoting Action on Research Implementation in Health Services (PARiHS) framework to a provincial osteoporosis management program to describe unit level factors that may have influenced implementation among participating inpatient rehabilitation units. A toolbox of measures was proposed to operationalize the frameworks elements of evidence, context and facilitation. A cross-sectional survey was completed with clinicians responsible for championing the program and their managers. Results demonstrated that leadership behaviours, organizational climate traits and champion behaviours varied among practice environments indicating that attention to unit level factors outlined by the PARiHS framework could increase the uptake of research evidence in practice. The proposed toolbox could be utilized as a diagnostic and prescriptive tool to identify potential implementation barriers, and guide the selection of appropriate tools/strategies to overcome them. Furthermore, it will enable future studies to provide further empirical support for the PARiHS framework