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 Health. 14 December, 2016 Washington, DC.
APA. (2005). Report of the 2005 presidential task force on evidence-based practice IOM. (2001). Crossing the quality chasm. Sackett et al., 1996.;
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.
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.
How is Adaptation different from Drift? Drift Adaptation
Why The Fuss About Fidelity and Adaptation?
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