Methods
CMO
Thus, the paradigm of context in (1) realist approaches is situated scientifically and analytically between positivist and constructivist approaches. The goal is to discover semi-predictable patterns related to contexts, underlying generative mechanisms, and outcomes (CMO), and to develop middle-range theories related to the object of study [We then used the (2) belief elicitation approach to develop a contextualized latent scale. This data-driven approach allows the contextualization of behavior-related assumptions for a particular setting, population, or new behavior of interest [Regarding our research questions, we assumed that the (3) structural relations between meso and micro levels in participating primary care organizations should be differentiated in the structural equation model. Two objectives were pursued for empirical investigation: (a) to explain the influence of an organization-related variable on the implementation mechanism and the outcome of implementation (adoption) and (b) to examine the mediating effect of physicians’ contextualized innovation beliefs. Relevant constructs were operationalized for different levels of the organization to enable the mediation model to explain the complex implementation pathways. Testable hypotheses were generated based on the different methodological and analytical steps applied.