Systematic translation and cross-validation of defined implementation outcomes in health care services

To validate a German translation of construct-validated implementation outcomes of Proctor et al. (2011). A systematic translation process and a cross-validation based on Beaton et al. (2000) were performed. Semantic challenges arose regarding the definitions of "adoption" and "fidelity". Consistent formulation was established. The validated definitions are a starting point for developing a comprehensive concept to measure implementation effectiveness and efficacy of interventions in health services research.