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1. Orientation
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Awareness and interest in innovation.
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Distribution of messages, key figures, and networks approached and informed.
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2. Insight
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Understanding and insight into implications for routines.
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Provision of instruction materials using audit methods and performance feedback.
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3. Acceptance
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Positive attitude to change, positive intentions/decision to change.
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Adaptation of innovation by target group, identification of resistance to change, involvement of key individuals, pilots and demonstration of feasibility, detection of barriers, and search for solutions.
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4. Change
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Actual adoption, try out change in practice, exploratory use, confirmation of value of change.
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Provision of resources, support for skills training, redevelopment of processes, temporary resource support, inventory of barriers, and solution attempts.
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5. Maintenance
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New practice integrated into routines/routine use, new practice embedded in organization, sustainability over time.
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Long-term monitoring, feedback and reminder systems, integration into routine pathways, provision of researches, and support from management.
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