title: Innovation adoption: a review of theories and constructs.
abstract: Many theoretical frameworks seek to describe the dynamic process of the implementation of innovations. Little is known, however, about factors related to decisions to adopt innovations and how the likelihood of adoption of innovations can be increased. Using a narrative synthesis approach, this paper compared constructs theorized to be related to adoption of innovations proposed in existing theoretical frameworks in order to identify characteristics likely to increase adoption of innovations. The overall goal was to identify elements across adoption frameworks that are potentially modifiable and, thus, might be employed to improve the adoption of evidence-based practices. The review identified 20 theoretical frameworks that could be grouped into two broad categories: theories that mainly address the adoption process (N = 10) and theories that address adoption within the context of implementation, diffusion, dissemination, and/or sustainability (N = 10). Constructs of leadership, operational size and structure, innovation fit with norms and values, and attitudes/motivation toward innovations each are mentioned in at least half of the theories, though there were no consistent definitions of measures for these constructs. A lack of precise definitions and measurement of constructs suggests further work is needed to increase our understanding of adoption of innovations.
authors.affiliation: George Washington University, 2121 Eye Street Suite 601, Washington, DC, 20052, USA, jpwisdom@gwu.edu.
authors.forename: Jennifer P
authors.initials: JP
authors.lastname: Wisdom
authors.forename: Ka Ho Brian
authors.initials: KH
authors.lastname: Chor
authors.forename: Kimberly E
authors.initials: KE
authors.lastname: Hoagwood
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Horwitz
mesh_terms: D004059:Diffusion of Innovation; D055317:Evidence-Based Practice / Q000458:organization & administration*; D006801:Humans
references.citation: Nurs Outlook. 2001 Nov-Dec;49(6):272-9
references.pmid: 11753294
references.citation: Am J Public Health. 2003 Aug;93(8):1261-7
references.pmid: 12893608
references.citation: Nurs Outlook. 2010 Nov-Dec;58(6):287-300
references.pmid: 21074646
references.citation: Ann Intern Med. 2010 Oct 5;153(7):469-72
references.pmid: 20679544
references.citation: Health Care Manage Rev. 2005 Oct-Dec;30(4):282-92
references.pmid: 16292005
references.citation: Implement Sci. 2008 Jul 16;3:36
references.pmid: 18631386
references.citation: J Consult Clin Psychol. 1986 Feb;54(1):111-8
references.pmid: 3958295
references.citation: Adm Policy Ment Health. 2011 Jan;38(1):4-23
references.pmid: 21197565
references.citation: Psychiatr Serv. 2006 Aug;57(8):1153-61
references.pmid: 16870967
references.citation: Milbank Q. 2004;82(4):581-629
references.pmid: 15595944
references.citation: Adm Policy Ment Health. 2010 Mar;37(1-2):15-26
references.pmid: 20177769
references.citation: Can J Nurs Res. 2004 Jun;36(2):89-103
references.pmid: 15369167
references.citation: Diabetes Care. 2003 Aug;26(8):2451-6
references.pmid: 12882877
references.citation: Am J Public Health. 2009 Nov;99(11):2087-95
references.pmid: 19762654
references.citation: J Nurs Manag. 2011 Jan;19(1):109-20
references.pmid: 21223411
references.citation: Am J Prev Med. 2012 Sep;43(3):337-50
references.pmid: 22898128
references.citation: Jt Comm J Qual Patient Saf. 2008 Apr;34(4):228-43
references.pmid: 18468362
references.citation: J Health Serv Res Policy. 2005 Jul;10 Suppl 1:21-34
references.pmid: 16053581
references.citation: Adm Policy Ment Health. 2010 Mar;37(1-2):27-39
references.pmid: 20143150
references.citation: J Subst Abuse Treat. 2002 Jun;22(4):171-82
references.pmid: 12072162
references.citation: Adm Policy Ment Health. 2008 Mar;35(1-2):21-37
references.pmid: 17990095
references.citation: BMC Med Educ. 2010 Feb 02;10:12
references.pmid: 20122253