Deconstruction of the Type 2 Hybrid Effectiveness-Implementation Study Design (MtG) 

Implementation research addresses barriers to the successful conduct of interventions aimed at improving health. Thus, implementation scientists are often interested in examining both the success of implementation strategies and health interventions. It can be argued that the most rigorous design to accomplish that goal would employ two randomized controlled trials-one testing implementation strategies on implementation outcomes and one testing an intervention on health-related outcomes. This type of study is called a dual randomized controlled trial (DRCT). Although the utility of the DRCT design is evident, the limited literature review revealed that this design is rare in the published literature.
This webinar reviews the basic components of implementation-effectiveness studies. Dr. Stevens then constructs a paradigm that breaks down the components of the DRCT and provides a step-by-step explanation of features of the design and recommendations for use. The design includes a minimum of three randomized arms, each comprised of an active or control implementation strategy paired with an active or control intervention. Examples are shown to demonstrate the use of the paradigm in different research settings.