It seems to me that thinking implementation prior to efficacy testing is putting the cart ahead of the horse. Ideally, interventions that make it to the implementation phase will have an evidence-base and demonstrate the ability to achieve the desired outcomes--especially when the intervention is resource and cost intensive.

Designing interventions where they will be implemented is the way to go. Engage with and design for the end user, fail faster, and innovate. From this social

work clinician-scientist’s perspective, we save so much time and energy this way, but I’m an implementation scientist at heart and others prefer to design and test in a controlled environment first.