Implementation research design: integrating participatory action research into randomized controlled trials

摘要: A gap continues to exist between what is known be effective and actually delivered in the usual course of medical care. The goal implementation research reduce this gap. However, a tension exists need obtain generalizeable knowledge through trials, inherent differences healthcare organizations that make standard interventional approaches less likely succeed. purpose paper explore integration participatory action randomized controlled trial (RCT) study designs suggest new approach for studying interventions settings. We summarize key elements research, with particular attention its collaborative, reflective approach. Elements RCT are discussed contrasted, complex adaptive systems used frame their integration. design results reflects not only nature organizations, but also regarding process.