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This lecture covers the distinction between intervention efficacy and implementation effectiveness in the context of implementation research outcomes. It explains why an effective intervention may not always lead to the desired health outcomes due to implementation failures. The lecture also discusses the definition and conceptualization of implementation research outcomes as constructs that measure the success or failure of implementing interventions. It presents a conceptual model for implementation research outcomes, highlighting the importance of intermediate outcomes in assessing the impact of interventions on individual or population health.