Note: This construct captures the inherent trialability and/or reversibility of the innovation, not the need to trial nor the process of trialing the innovation.
The original CFIR (Laura J. Damschroder et al. 2009) elaborated on this construct, stating that the ability to test the innovation on a small scale, (T. Greenhalgh, Robert, et al. 2004), and be able to reverse course (undo implementation) if warranted (Feldstein and Glasgow 2008), are important potential determinants of implementation outcomes. The ability to trial is a key feature of the plan-do-study-act quality improvement cycle that allows deliverers to find ways to increase coordination to manage interdependence (Rabin et al. 2008; J. Leeman, Baernholdt, and Sandelowski 2007). Piloting allows for individuals and groups to build experience and time to reflect upon and test the innovation (Rycroft-Malone, Kitson, et al. 2002). Usability testing (with deliverers and recipients) promotes successful adaptation of the innovation (Feldstein and Glasgow 2008) (See Implementation Process: Engaging and Doing.)