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J Prim Prev. 2019 Feb;40(1):137-141. doi: 10.1007/s10935-019-00539-2.

Testing and Exploring the Limits of Traditional Notions of Fidelity and Adaptation in Implementation of Preventive Interventions.

Author information

1
Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Seattle, WA, 98101, USA. Cara.C.Lewis@kp.org.
2
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1959 NE Pacific St, Seattle, WA, 98195, USA. Cara.C.Lewis@kp.org.
3
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1959 NE Pacific St, Seattle, WA, 98195, USA.
4
VISN 16 South Central Mental Illness Research Education and Clinical Center (MIRECC), Central Arkansas VA Health Care System, 2200 Fort Roots Drive, North Little Rock, AR, 72114, USA.
5
Department of Psychiatry, University of Arkansas for Medical Sciences, 4301 W Markham St, Little Rock, AR, 72205, USA.

Abstract

This commentary reflects on key challenges raised across the articles of this special issue, notably the tension between fidelity and adaptation, the importance of articulating core components and principles of evidence-based programs, the need for pragmatic measures, and the challenges associated with articulating and testing mechanisms of implementation strategies. These challenges are amplified in the context of prevention research where task shifting, or revising professional roles, is especially common. Synergies with work emerging from the Society for Implementation Research Collaboration are highlighted throughout.

KEYWORDS:

Adaptation; Fidelity; Implementation; Pragmatic measures; Task shifting

PMID:
30684091
DOI:
10.1007/s10935-019-00539-2

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