Balancing Adaptation and Fidelity: Exploring the Continuum - - PowerPoint PPT Presentation

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Dec 25, 2022 14 likes •75 views

Balancing Adaptation and Fidelity: Exploring the Continuum Panelists Susan Michie Don Goldmann Lisa Saldana Amy Kilbourne Moderator Gregory Aarons Presented at 9 th Annual Conference on the Science of Dissemination and Implementation in

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Balancing Adaptation and Fidelity: Exploring the Continuum

Panelists Susan Michie Don Goldmann Lisa Saldana Amy Kilbourne Moderator Gregory Aarons

Presented at 9th Annual Conference on the Science of Dissemination and Implementation in Health. 14 December, 2016 Washington, DC.

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APA. (2005). Report of the 2005 presidential task force on evidence-based practice
IOM. (2001). Crossing the quality chasm.

Sackett et al., 1996.;

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Fidelity

"extent to which the intervention was delivered as planned. It represents the quality and integrity of the intervention as conceived by the developers.” This can be

– “clinical intervention fidelity” – “implementation strategy fidelity” – Not – “fidelity of implementation”

Linnan, L., & Steckler, A. (2002). Process evaluation for public health interventions and research (pp. 1-23). San Francisco, California: Jossey-Bass.

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Adaptation Targets

Clinical intervention Implementation Strategies System (outer context or setting) Organization (inner context or setting)

Kitson, A. L., Rycroft-Malone, J., Harvey, G., McCormack, B., Seers, K., & Titchen, A. (2008). Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges. Implementation Science, 3(1), 1.

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How is Adaptation different from Drift?

Adaptation Drift

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