{"id":19722,"date":"2024-09-25T09:00:32","date_gmt":"2024-09-25T13:00:32","guid":{"rendered":"https:\/\/ssaquebec.ca\/?p=19722"},"modified":"2026-10-16T08:40:37","modified_gmt":"2026-10-16T12:40:37","slug":"issaq-4-0-innovation-scalability-self-administered-questionnaire","status":"publish","type":"post","link":"https:\/\/ssaquebec.ca\/en\/news\/issaq-4-0-innovation-scalability-self-administered-questionnaire\/","title":{"rendered":"ISSaQ: Innovation Scalability Self-Administered Questionnaire"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>ISSaQ<\/strong> is a questionnaire that enables scaling teams in health and social services to assess the scalability of innovations. It is evidence-based and helps identify areas for improvement in innovations and scaling projects to ensure their success.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You can use ISSaQ at various stages of scaling up an innovation:<\/p>\n\n\n<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li>Before implementing the pilot innovation<\/li>\n\n\n\n<li>Before scaling up the innovation<\/li>\n\n\n\n<li>During or after scaling up the innovation<\/li>\n<\/ul>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\">A tool that fosters patient and citizen engagement<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><br>ISSaQ was developed using an integrated knowledge translation approach and incorporated input from patient and citizen partners at every stage of its development. As a result, the tool encourages patient and citizen engagement as it is scaled up. However, this engagement will require innovation teams to make an effort to conduct discussions in accessible language and to clearly identify the skills of patients and citizens who can contribute to assessing the potential for scaling up their innovation.<\/p>\n\n\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary>ISSaQ Definition<\/summary>\n<div style=\"height:14px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Innovation Scalability Self-Administered Questionnaire<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary>Definitions of scaling up innovations and assessing the potential for scaling up<\/summary>\n<div style=\"height:17px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Scaling Up Innovations in Health and Social Services<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><br>A set of deliberate efforts to increase the impact of an innovation that has proven effective in pilot or experimental settings, through the dissemination, replication, or adaptation of innovations in health and social services.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Assessment of the scalability potential of a health and social services innovation<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><br>This aims to ensure that the innovation has the potential to be disseminated, replicated, or adapted to new contexts, while maintaining its effectiveness and thereby increasing its impact.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary>ISSaQ tool glossary<\/summary>\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Effectiveness<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Refers to how well it achieves its intended outcomes or goals in addressing a specific problem or need. It typically measures the impact, efficiency, and overall success of the innovation in practical applications.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Ethnic and racialized minorities<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Groups of people distinguished by their ethnic background, culture, or perceived race, who experience social, economic, or political marginalization due to societal structures and biases. The term &#8220;racialized&#8221; highlights the social process of assigning racial identities, often leading to discrimination or unequal treatment.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Evidence-based data<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Data obtained using rigorous scientific methods such as experimental or observational studies. Evidence-based data can include quantitative data (numbers, statistics) and\/or qualitative data (observations, testimonials).<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Innovation pilot<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">The first implementation of the innovation in a pilot or experimental context.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Scaling team<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Team responsible for scaling the innovation.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Innovations in health and social services<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Interventions that are new, or perceived as new by their beneficiaries, or interventions adapted to new contexts.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Local or experimental contexts<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">The context in which an innovation was implemented for the first time.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Monitoring and assessment infrastructure<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Infrastructure such as equipment, measures and qualified human resources necessary for guiding and monitoring scaling.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Local multi-stakeholder partnerships<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Partnerships necessary for scaling the innovation, e.g. partners from various sectors such as financial organizations, suppliers, community associations and governments.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">New contexts<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">The context\/s into which an innovation will be scaled.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Organizational Infrastructure<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">The institutional arrangements needed to scale an innovation, such as authorizations from management, a governance committee and political and community support.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Patient and citizen involvement in scaling<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Active participation of patients and citizens in the scaling of innovations in health and social services through collaboration and the co-production of ideas, plans, documents, tools, solutions and evaluations throughout all phases of the process.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Plain language<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Language that is understandable and usable by as many people as possible, including those with different abilities or needs.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Political obstacles<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Barriers at the level of political decision-making and public policy implementation that may block scaling. These may be conflicts of interest between different groups, bureaucracy and institutional resistance to change, and legal or regulatory constraints.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Qualified human personnel<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Qualified personnel who are either already able to contribute to scaling the innovation, or who are willing and able to be trained to do so.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Relevant and high-quality data<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Relevant data are consistent, appropriate and respond to a specific question or scaling goal. High-quality data are reliable in terms of the data collection methodology, the sampling, and the validity of the measures.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Scalability<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Potential of an innovation to be expanded, replicated and adapted to new contexts while maintaining its effectiveness and thus increasing its impact.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Scalability components<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Components that have been identified in the scientific literature as essential to the success of scaling innovations in health and social services.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Scaling<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Effort to increase the impact of a health innovation proven effective in local or experimental contexts through expanding, replicating and adapting it.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Scaling preparation<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">The stage before scaling, including establishing the team, partnerships, infrastructure and everything else necessary for proceeding with scaling. Some authors recommend developing a scaling plan at this stage.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Stakeholders<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">User representatives, beneficiaries, organizations and persons working in health research or health and social services, funding bodies and decision makers, all of whose perspectives are necessary for scaling the innovation.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Sex- and gender sensitive<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Elements that take into account inherent social and power inequalities in society that result in, for example, differences in access to health care for women, men, cisgender, transgender and non-binary persons.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Target population<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">The population and\/or services that will benefit from scaling the innovation.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Underserved groups<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Persons, communities and groups frequently faced with discrimination and prejudice because of their characteristics or position in the social structure. These are people of African descent, Indigenous people, Roma, Sinti and Travellers, people belonging to national, ethnic, religious or linguistic minorities, migrants, refugees, asylum seekers, internally displaced people, people living in extreme poverty, women, LGBTQ2S+ people, people with disabilities, and older people.<\/p>\n\n\n<\/div>\n\n                    \n<\/details>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/ssaquebec.ca\/wp-content\/uploads\/2024\/09\/Outil_Guide_ISSaQ-4.0__english_version.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Download ISSaQ 4.0<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:47px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\"><div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Target audiences<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Healthcare partner (patient, service user, family member, citizen)<br>Researcher or research professional<br>Healthcare professional<br>Social services professional<br>Decision-maker or manager<br>Professor<br>Student<br>Continuous Improvement Officer and Regional Continuous Improvement Officer (AACQ \u2013 ARACQ)<br>Family Medicine Clinic or Family Medicine Group<br>Clinical Coordinator<br>Others<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Advantages<\/h3>\n    \n<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li><strong>Users:<\/strong> Articulate their needs and ensure the innovation is relevant<\/li>\n\n\n\n<li><strong>End users<\/strong>: Verify acceptability, equity, and cultural appropriateness<\/li>\n\n\n\n<li><strong>Health organizations:<\/strong> Plan, document, and structure scaling up<\/li>\n\n\n\n<li><strong>Funding agencies<\/strong>: Assess quality, feasibility, and potential impact<\/li>\n\n\n\n<li><strong>Decision-makers<\/strong>: Ensure policy, legal, and strategic alignment<\/li>\n<\/ul>\n<\/div>\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Key features or components<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">The questionnaire is self-administered and consists of 37 items organized into 12 components, which are:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C1. Social or health issue addressed by the scaling-up<br>C2. Development of the scaling-up<br>C3. Characteristics of the scaled-up innovation<br>C4. Policy context of the scaling-up<br>C5. Efficiency of the scaled-up innovation<br>C6. Costs of the scaling-up<br>C7. Adaptability of the scaled-up innovation<br>C8. Coverage of the scaling-up<br>C9. Acceptability of the scaled-up innovation<br>C10. Scaling-up environment<br>C11. Infrastructure required for scaling up<br>C12. Sustainability of scaling up<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Examples of use<\/h3>\n    \n\n<h3 class=\"wp-block-heading\">In the case of the MOBILIZE project, an innovation aimed at reducing the error rate in the receipt of test results is to be scaled up in a new FMG-U (University Family Medicine Group)<\/h3>\n\n\n\n<h3 class=\"wp-block-heading\">Using the guide<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><br>ISSaQ 4.0 is used to assess the innovation\u2019s transferability, identify needs, structure the scaling-up process, and support decision-making regarding scaling up.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Impact<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li>Informed decision<\/li>\n\n\n\n<li>Better understanding of the innovation<\/li>\n\n\n\n<li>Strengthened mobilization<\/li>\n\n\n\n<li>Action plan tailored to the new setting<\/li>\n<\/ul>\n<\/div>\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Team<\/h3>\n    \n<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li><strong>Roberta de C. Cor\u00f4a<\/strong>: Postdoctoral Researcher<\/li>\n\n\n\n<li><strong>Ali Ben Charif: <\/strong>Researcher<\/li>\n\n\n\n<li><strong>Karine V. Plourde<\/strong>: Research Professional<\/li>\n\n\n\n<li><strong>Am\u00e9d\u00e9 Gogovor:<\/strong> Assistant Professor<\/li>\n\n\n\n<li><strong>France L\u00e9gar\u00e9<\/strong>: Full Professor<\/li>\n<\/ul>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><br>This tool is the result of the project \u201cD\u00e9veloppement d\u2019un outil d\u2019\u00e9valuation du potentiel de mise \u00e0 l\u2019\u00e9chelle des innovations en soins de sant\u00e9 communautaires de premi\u00e8re ligne (tool validated by a Delphi study),\u201d funded by Unit\u00e9 de Soutien SSA Qu\u00e9bec as part of the 2021\u20132022 transition projects. The project was conducted in collaboration with the Canada Research Chair in Shared Decision-Making and Knowledge Translation at Universit\u00e9 Laval and received support from the Centre for Sustainable Health Research \u2013 <a href=\"https:\/\/vitam.ulaval.ca\/\">VITAM<\/a>.<\/p>\n\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">To cite the tool<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Cor\u00f4a RC, Ben Charif A, Plourde KV, Gogovor A, L\u00e9gar\u00e9 F. Innovation Scalability Self-Administered Questionnaire \u2013 ISSaQ 4.0. Qu\u00e9bec: Unit\u00e9 de Soutien SSA Qu\u00e9bec; 2025, September p. 1\u201327.<\/p>\n\n\n<\/div>\n\n                    \n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/ssaquebec.ca\/wp-content\/uploads\/2024\/09\/Outil_Guide_ISSaQ-4.0__english_version.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Download ISSaQ 4.0<\/a><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The ISSaQ 4.0 tool enables health and social services innovation teams to assess the scalability potential of their innovations. It is a self-administered questionnaire that supports informed decision-making regarding the planning, initiation, and continuation of scaling efforts.<\/p>\n","protected":false},"author":2,"featured_media":16818,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"14451,10801,10875,10763,10724,18225","footnotes":""},"categories":[40],"tags":[151],"article-type":[47,48],"class_list":["post-19722","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-guide-en","article-type-deliverables","article-type-tools"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ISSaQ: Innovation Scalability Self-Administered Questionnaire | Unit\u00e9 soutien SSA Qu\u00e9bec<\/title>\n<meta name=\"description\" content=\"ISSaQ 4.0 enables teams to assess the scaling potential of their innovations. 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