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psychometric strength. Six scales (6/65) rated as 'excellent' for usability. Investigators assessing implementation outcomes quantitatively should select instruments based on their methodological and psychometric quality to promote consistent and comparable implementation evaluations. Rather than developing ad hoc instruments, we encourage further psychometric testing of instruments with promising methodological and psychometric evidence. PROSPERO 2017 CRD42017065348. PROSPERO 2017 CRD42017065348. We designed a novel ankle foot ortho