Explaining high and low performers in complex intervention trials: a new model based on diffusion of innovations theory

Heather McMullen, Chris Griffiths, Werner Leber, Trisha Greenhalgh · 2015 · Trials

Summary. This study examined why some general practices in London successfully implemented a rapid HIV testing intervention while others struggled. Using ethnographic observation and interviews, researchers found that high-performing practices had strong leadership, good management relations, staff training culture, and available resources. Staff in these practices believed the test benefited patients and felt comfortable using it. Low-performing practices lacked these characteristics and experienced resource constraints. The diffusion of innovations theory effectively explained performance variation across organizations.

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@article{mcmullen-2015-explaining-high-low-performers-complex,
  title   = {Explaining high and low performers in complex intervention trials: a new model based on diffusion of innovations theory},
  author  = {Heather McMullen and Chris Griffiths and Werner Leber and Trisha Greenhalgh},
  journal = {Trials},
  year    = {2015},
  doi     = {10.1186/s13063-015-0755-5},
  url     = {https://doi.org/10.1186/s13063-015-0755-5}
}

TY  - JOUR
TI  - Explaining high and low performers in complex intervention trials: a new model based on diffusion of innovations theory
AU  - Heather McMullen
AU  - Chris Griffiths
AU  - Werner Leber
AU  - Trisha Greenhalgh
JO  - Trials
PY  - 2015
DO  - 10.1186/s13063-015-0755-5
UR  - https://doi.org/10.1186/s13063-015-0755-5
ER  - 

Details

DOI

10.1186/s13063-015-0755-5

Countries

United Kingdom

Regions

Europe

Categories

innovation-theory, rural-healthcare, general-innovation

Added

2026-04-28