From Innovation to Impact

Teaching Spine (25 minutes)

XR innovation is accelerating.

Publications are increasing.
Pilot projects are everywhere.
Sustainable adoption is rare.

This is not a technical problem.
It is a structural problem.

XR interventions behave like:

• Curriculum reform

• Clinical workflow redesign

• Behavioral change programs

• Organizational innovation
  
  

XR must therefore be treated as a complex intervention.

Complex interventions require staged evidence development.

They require:

• Phase awareness

• Maturity discipline

• Translational planning

LECTURE 1

Today you will examine your project through five structural lenses:

• MRC Complex Intervention logic (Paper 1, Paper 2)

• Design-Based Research (DBR) (Paper 1)

• Translational phase awareness (T0–T4) (Paper 1)

• Technology Readiness Levels (TRL) (Paper 1)

• Implementation and adoption planning (Framework)
  
  

Each lens answers a different structural question:

• Can it be built?

• Can it work?

• Does it change behavior?

• Can it scale?

• Will institutions sustain it?
  
  

Now consider where your project currently sits.

Maturity Continuum

Level 1 – Prototype
Technical feasibility and usability validation

Level 2 – Educational / Clinical Validation
Measured learning or behavior change

Level 3 – Implementation
Workflow integration and organizational buy-in

Level 4 – System Impact
Sustained adoption, scale, and policy alignment

Most XR research reaches Level 2 and stops.

Be realistic about what it takes to move beyond this plateau.

Your maturity level must match your current evidence.

Premature escalation creates structural instability.

Tomorrow, this positioning will be tested against methodological alignment.