Psychological Services, Vol 22(4), Nov 2025, 634-640; doi:10.1037/ser0000947
The Practical, Robust Implementation and SustainabilityModel (PRISM) is an implementation science framework that incorporates multilevel contextual considerations and key implementation outcomes that can be used to support program planning, implementation, and sustainment. The PRISM has been applied to diverse populations, settings, and implementation strategies. Tools to rapidly assess the PRISM’s contextual determinants of implementation success are needed to support implementation efforts. The objectives of this study were to describe the development and preliminary psychometric and pragmatic properties of the PRISM Contextual Survey Instrument (PCSI) and to demonstrate its use to inform implementation and sustainment in health care settings. The 29-item survey was developed based on refinement of existing questions, expert feedback, and pilot testing. Three to six items were included for each of the six PRISM context domains, each rated on a 5-point Likert scale. Implementors completed the PRISM survey and quantitative measures of implementation outcomes (acceptability, feasibility, and appropriateness; Weiner et al., 2017) to establish concurrent validity. Survey results were used to tailor subsequent implementation efforts. The PCSI took 14 min on average to complete. The mean overall score across participants and sites was 3.95 (SD = 0.42). The PCSI exhibited good psychometric and pragmatic properties. Internal consistency for the subscales ranged from 0.53 to 0.82, and concurrent validity with the other implementation outcomes varied from r = 0.70 (p r = 0.80 (p