February 28, 2025
September 19, 2023
Wayne State University
Multilevel Adaptive Implementation Strategies
Daniel Almirall, PhD
Co-Director, d3center
Research Associate Professor
Institute for Social Research
University of Michigan
Evidence-based practices often fail to be implemented or sustained due to barriers at multiple levels of an organization (e.g., system-level, practitioner-level). A growing cadre of implementation strategies can help mitigate challenges at these multiple levels, but significant heterogeneity exists in whether, and to what extent, organizations—and the practitioners who deliver treatment within them—respond to different strategies. However, it is impractical to provide all (or even most) of these strategies to all levels, at all times. This suggests the need for an approach that sequences and adapts the provision of implementation strategies to the changing context and needs of practitioners within the multiple levels of an organization. A multilevel adaptive implementation strategy (MAISY) offers a replicable, approach to precision implementation that guides implementers in how best to adapt and re-adapt (e.g., augment, intensify, switch) implementation strategies based on the changing context and changing needs at multiple levels.
February 28, 2025
Institute for Social Research
Keep up to date with the latest news, events, software releases, learning modules, and resources from the d3center.
© 2025 • d3center • Institute for Social Research • University of Michigan