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SUMMARY:Beyond Barriers and Enablers: Mechanisms as the Missing Middle in 
 Implementation Science - Prof Carolyn Steele-Gray (University of Toronto)
DTSTART;VALUE=DATE-TIME:20260319T133000Z
DTEND;VALUE=DATE-TIME:20260319T150000Z
UID:https://talks.ox.ac.uk/talks/id/a8edfbf1-286b-4fef-8dee-771fa51de648/
DESCRIPTION:Despite substantial growth in implementation research\, the fi
 eld has become increasingly dominated by frameworks and studies that catal
 ogue barriers and enablers to implementation success. While these approach
 es have been instrumental in identifying contextual determinants of uptake
 \, they often stop short of explaining how implementation strategies produ
 ce change. As a result\, implementation studies frequently emphasize what 
 strategies were used to support putting an innovation into practice\, and 
 whether those strategies achieved intended outcomes\, while paying far les
 s attention to the cognitive\, relational\, organizational\, and team-leve
 l processes through which change unfolds. This imbalance has left a noted 
 critical gap in our understanding of the underlying mechanisms that are ac
 tivated by strategies to generate desired implementation outcomes.\n\nIn t
 his lecture\, Dr. Carolyn Steele Gray draws on insights from cognitive psy
 chology (e.g.\, habit formation and mental models)\, sociology (e.g.\, pro
 fessional identity\, power\, and social networks)\, organizational and tea
 m science (e.g.\, leadership\, sense-making\, and team processes)\, and th
 eories of innovation and adoption (e.g.\, diffusion of innovations) that c
 an help reveal the mechanisms that can underlie strategy success. Using em
 pirical examples from studies of digital health and integrated care implem
 entation\, the lecture illustrates how a developed understanding mechanism
 s can help better tailor strategies to unique environments\, helping to sh
 ape adaptation\, spread\, and sustainability of innovations in complex hea
 lth systems.\n\nThe session also explores the methodological challenges as
 sociated with studying mechanisms\, including issues surrounding definitio
 nal clarity\, complexity\, temporality\, and multi-disciplinary dynamics t
 hat may not be adequately captured by dominant evaluation approaches. By f
 oregrounding mechanisms as a critical but understudied force in implementa
 tion\, this lecture argues for a more theory-driven and mechanism-informed
  approach to strategy development which can help to enable scale\, transfe
 rability\, and long-term sustainability of innovation.\n\nThis talk is par
 t of the Health Organisations and Policy course\, which forms part of the 
 Translational Health Sciences programme. This event is free and open to al
 l.\n\nCarolyn Steele Gray\, MA\, PhD holds a Tier 2 Canada Research Chair 
 in Implementing Digital Health Innovation. She is a Senior Investigator at
  the Science of Care Institute and in the Lunenfeld-Tanenbaum Research Ins
 titute at Sinai Health\, and an Associate Professor in the Institute for H
 ealth Policy\, Management and Evaluation at the University of Toronto in C
 anada. Dr. Steele Gray is an Implementation Scientist whose program of wor
 k focuses on the role of digital health in supporting integrated\, person-
 centred and primary care delivery for patients with complex care needs\, a
 pplying implementation science theory and approaches\, along with evaluati
 on methods to uncover to how best to embed technology into novel delivery 
 models. Key to her transformational work is her international leadership i
 n the areas of digital health and integrated care\, notably through her wo
 rk as a Senior Associate with the International Foundation for Integrated 
 Care (IFIC)\, and a member of the Executive committee with IFIC Canada\, w
 here she co-leads a Special Interest Group in Digital Services and Data En
 abling Integrated Care\, providing strategic guidance and expertise throug
 h IFIC programs like their international Integrated Care Academy. Her nati
 onal and international leadership in the fields of digital health implemen
 tation and integrated primary care was recognized by Digital Health Canada
  who awarded her Digital Health Leader of the Year in 2025 as well as by t
 he North American Primary Care Research Group who awarded her the Mid-Care
 er Scientist Award in 2025.\nSpeakers:\nProf Carolyn Steele-Gray (Universi
 ty of Toronto)
LOCATION:Rewley House (Tawney Room and Online)\, 1-7 Wellington Square OX1
  2JA
TZID:Europe/London
URL:https://talks.ox.ac.uk/talks/id/a8edfbf1-286b-4fef-8dee-771fa51de648/
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DESCRIPTION:Talk:Beyond Barriers and Enablers: Mechanisms as the Missing M
 iddle in Implementation Science - Prof Carolyn Steele-Gray (University of 
 Toronto)
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