A proven effective innovation in prevention or care is not necessarily a success in itself. It is essential to gain insight in  factors that hinder or help the use of the innovation in order to deploy specific implementation strategies. TNO has developed a short, generic diagnosis instrument. Those charged with supervising the implementation and researchers can use this MIDI to substantiate their recommendation and to monitor the implementation.

Existing innovation models have an important principle in common: they assume an analysis of factors (determinants) that hinder or help the implementation. On this basis implementation strategies are developed to enhance the use of that innovation, so to measure the determinants is an initial, fundamental activity for all researchers and people supervising implementation. However, there is insufficient knowledge available about the successful implementation and evaluation of innovations (guideline, intervention, programme) in prevention and care. TNO has clustered knowledge of the development, implementation and evaluation of innovations, and advises supervisors of implementation and researchers on the right implementation approach.

Realisation of MIDI

Since 1999 TNO has been investigating determinants that predict the actual use of innovations, drawing up a list of 60 potentially relevant determinants in 2002 and performing a meta-analysis in 2012 to arrive at an empirically substantiated reduction of the original list. The reduced list of 29 determinants was transformed into a generic diagnosis instrument. The meta-analysis was performed on various previous TNO studies into the implementation of preventive innovations in youth healthcare and education. Analysis revealed which determinants best predicted the use of innovations and the results were then presented for verification to implementation experts working in policy, research and practice.
The determinants are described in the MIDI: Measuring Instrument for Determinants of Innovations. In addition to the definition, the question and answer categories by which the determinant can best be measured is also stated. We are keen to explore with researchers the predictive validity of the determinants.

Customised training or advice

Implementing new (care) programmes, interventions or guidelines is a challenging process. How innovation is implemented is crucial. Various questions may be at play. How do I introduce the innovation? What do I have to organise and by when? TNO can help you through advice or a customised training on both the MIDI and the implementation of innovations.

If you use the questionnaire, you are obliged to refer to the article Towards a measurement instrument for determinants of innovations about the realisation of MIDI with this note: MAH Fleuren; TGWM Paulussen; P Van Dommelen; S Van Buuren, International Journal for Quality in Health Care , 26 (5), 2014: 501-510; doi: 10.1093/intqhc/mzu060.

Are you interested in advice or customised training? Contact Theo Paulussen.