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QH-TRIP

Translating Research Into Practice

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  • TRIP Change Builder

    • Identify a Problem

    • Evidence to Support Change

    • Planning for Change

    • Implementing Change

    • Evaluating Change

    • Sustainability, Scale, and Spread

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    • Foundation

    • Identify a Problem

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    • Planning for Change

    • Implementing Change

    • Evaluating Change

    • Sustainability, Scale, and Spread

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TRIP Change Builder: Implementing change

  • TRIP Change Builder
    • Identify a Problem
    • Evidence to Support Change
    • Planning for Change
    • Implementing Change
    • Evaluating Change
    • Sustainability, Scale, and Spread
  • Learning Hub
    • Foundation
    • Identify a Problem
    • Evidence to Support Change
    • Planning for Change
    • Implementing Change
    • Evaluating Change
    • Sustainability, Scale, and Spread
  • Resources
  • Implementation Series Modules
  • Success Stories
  • Support
  • Contact QH-TRIP
  • Interactive Tools
    • Stakeholder Mapping Tool
    • Program Logic Model
    • Project Evaluation
    • Readiness Assessment
    • The Fishbone / Ishikawa Diagram

How to use the tool

Work through the questions below to create your own Implementation Record. When you have completed the questions, you can print or save the tool to guide discussion with your colleagues or mentor.

Need more information?

If you’re unsure where to start or want to learn about this TRIP stage, click below to go to the relevant Learning Hub page.

Learn about Implementing Change

1. Confirm the barrier and behavioural domain.Review the information you gathered in Planning for Change. Clearly restate the specific barriers you are addressing and confirm which behavioural domain each barrier relates to. If needed, refine the domain based on further discussion.

local_library Resources

Use the COM-B and Theoretical Domains Framework to confirm whether each barrier relates to capability, opportunity or motivation.

Open the COM-B + TDF visual guide.

COM-B and Theoretical Domains Framework visual guide

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Although this may repeat your work from Planning for Change, revisiting these questions helps refine your thinking and ensures your responses remain accurate and relevant before the next step of selecting suitable interventions.

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Understanding the behavioural domain helps you choose strategies that target the underlying cause of the behaviour.

Review the behavioural domains identified during Planning for Change. Confirm they are still accurate. Adjust if further reflection suggests a better fit.

The COM-B provides a high-level behavioural diagnosis to understand whether the barrier relates to capability, opportunity or motivation.

The TDF offers a deeper understanding of the behavioural factors involved, such as knowledge, beliefs, or environmental context.

2. Select appropriate intervention functions.Choose intervention functions that are feasible to deliver within your local setting and acceptable, practical, affordable, and equitable for all groups.

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Choose intervention functions that are feasible to deliver within your local setting and that are:

  • Acceptable to stakeholders
  • Practical given available resources
  • Affordable within budget or time constraints
  • Equitable and accessible for all groups.

This helps you focus on what influences behaviour and can be realistically implemented in your setting.

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Interventions such as restriction, incentivisation and coercion can often require specific system changes or funding allocations to be operationalised.

This is not possible with all TRIP projects, but you may be able to use creative solutions to incentivise, coerce or persuade, such as how you communicate the rationale and drive for the specific project.

local_library Resources

The Center for Implementation provides tools for building implementation plans, including a snapshot of activity types linked to the Behaviour Change Wheel and Theoretical Domains Framework.

Open the Center for Implementation toolbox.

3. Identify specific change activities.Select or describe the concrete actions your team will carry out to support change.

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These are the concrete actions or strategies your team will carry out to support change. Examples include:

  • Developing targeted training modules
  • Introducing reminders or prompts
  • Modifying workflows or environments
  • Providing feedback and reinforcement
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Clearly defining activities for each intervention ensures that change strategies are actionable, measurable, and aligned with the barriers they aim to overcome.
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Activities are categories of action used to influence behaviour and embed change, for example education, training, environmental restructuring, persuasion, enablement, modelling, restriction, incentivisation or coercion.

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You may also wish to draw on system-level strategies from the Expert Recommendations for Implementing Change (ERIC) list.

Powell, B.J., et al., A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. Implementation Science, 2015. 10(1): p. 21.

Tip: Selecting feasible and context-appropriate interventions increases the likelihood of successful and sustainable behaviour change.

Output: Implementation Record

The Implementation Record summarises the information you have built over previous stages. It outlines who you need to target for change, what behaviour you are targeting, barriers to change, behavioural domains linked to each barrier, strategies to address the barriers, activities to roll out, and resources required. This record brings together all your implementation decisions and forms the foundation for monitoring and evaluation. It should be updated throughout your project to track progress and reflect on ongoing learning.

menu_book Learn More

The implementation record summarises the information you have built over previous stages. It outlines:

  • Who you need to target for change
  • What behaviour you are targeting
  • Barriers to change
  • Behavioural domains linked to each barrier
  • Strategies to employ to address the barriers
  • Activities to roll out
  • Resources required.

This record brings together all your implementation decisions and forms the foundation for monitoring and evaluation.

Note: The Implementation Record should be updated throughout your project to track progress and reflect on ongoing learning.

QH-TRIP

QH-TRIP helps Hospital and Health Services (HHSs) bridge the gap between research and practice by strengthening workforce capability.

We acknowledge the Traditional Owners and custodians of the lands from across Queensland. We pay our respects to the Elders past and present for they are holders of the memories, traditions, the culture and aspirations of Aboriginal and Torres Strait Islander peoples across Queensland.

© Queensland Health – Translating Research into Practice (QH-TRIP) (2025). Queensland Health, Brisbane. 2026