Bi-directionalityThe the diffusion of an innovation is meant to be represented in the ATTC model as a bi-directional, iterative process. In other words, the practices are shaped by their actual use in real-world settings, changes are made as necessary and then evaluated through research. In this way, evidence-based practices also become practice-based evidence. Dialogue between researchers, clinicians, change agents, and technology transfer specialists is key to this process.
