Adoption Impact Ladder (AIL)

The Adoption Impact Ladder (AIL) is an inventory for evaluating the level to which the target organization has taken the new knowledge or its application as its own. It uses a quasi-ordinal scale with 7 categories, namely, (0) no adoption; (1) awareness; (2) assimilation; (3) conversion (or translation); (4) allocation; (5) provision; and (6) routinization (or monitoring). It has been previously used in Australia for assessing the impact on the practice of a state policy program (Ed-LinQ Program in Queensland) [40], the international dissemination of a classification of case management [41], the adoption of the Spanish Disability Scheme by all the regional agencies in Andalucia [42], and in the use of DESDE-LTC for mapping mental health services in Spain [19]. Its validation study in Spain has indicated high usability and good reliability for assessing the impact of the adoption of multisectoral social and health policies and plans [42].