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Dissemination and Implementation Research in HealthTranslating Science to Practice$
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Ross C. Brownson, Graham A. Colditz, and Enola K. Proctor

Print publication date: 2017

Print ISBN-13: 9780190683214

Published to Oxford Scholarship Online: November 2017

DOI: 10.1093/oso/9780190683214.001.0001

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Fidelity and Its Relationship to Implementation Effectiveness, Adaptation, and Dissemination

Fidelity and Its Relationship to Implementation Effectiveness, Adaptation, and Dissemination

Chapter:
(p.267) 16 Fidelity and Its Relationship to Implementation Effectiveness, Adaptation, and Dissemination
Source:
Dissemination and Implementation Research in Health
Author(s):

Jennifer D. Allen

Rachel C. Shelton

Karen M. Emmons

Laura A. Linnan

Publisher:
Oxford University Press
DOI:10.1093/oso/9780190683214.003.0016

There is substantial variability in the implementation of evidence-based interventions across the United States, which leads to inconsistent access to evidence-based prevention and treatment strategies at a population level. Increased dissemination and implementation of evidence-based interventions could result in significant public health gains. While the availability of evidence-based interventions is increasing, study of implementation, adaptation, and dissemination has only recently gained attention in public health. To date, insufficient attention has been given to the issue of fidelity. Consideration of fidelity is necessary to balance the need for internal and external validity across the research continuum. There is also a need for a more robust literature to increase knowledge about factors that influence fidelity, strategies for maximizing fidelity, methods for measuring and analyzing fidelity, and examining sources of variability in implementation fidelity.

Keywords:   adaptation, designing for dissemination, fidelity, implementation fidelity, research design

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