ArticleImplementation science : IS2007
A conceptual framework for implementation fidelity.
Article in Implementation science : IS, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 1,030 papers, 10 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Feasibility of a Stroke Specific Self-management Program
Addressing Provider Stress and Unconscious Bias to Improve Quality of Maternal Health Care
Caring for Providers to Improve Patient Experience (CPIPE) Study: A Cluster Randomized-controlled Trial to Assess the Impact of the CPIPE Intervention on Person-centered Maternity Care
Study Protocol for a Multicenter Controlled Trial Comparing Multimodal Conservative Intervention Versus Surgical Management in Chronic Refractory Plantar Fasciopathy
Who cites it
1,030 citing papers in PubMed, 10 syntheses or guidelines pooled it.
- Implementation science frameworks and strategies to promote adoption of and adherence to oncology clinical practice guidelines in low- and middle-income countries: a scoping review.BMC global and public health · 2026Pooled it
- Conceptualisation and application of implementation strength in public health programmes within health systems: a systematic review.BMC health services research · 2026Pooled it
- Smoking cessation in pregnancy: a systematic review and meta-analysis of vulnerability approaches and expectant father involvement.Public health reviews · 2026Pooled it
- Psychological outcomes of primary-school physical education interventions: a systematic review and multilevel meta-analysis.Frontiers in psychology · 2026Pooled it
- Mobile crisis effectiveness: a systematic review and associated functions and forms framework.BMC health services research · 2025Pooled it
- Optimising adherence to inpatient rehabilitation trial protocols: A mixed-methods systematic review.Clinical trials (London, England) · 2025Pooled it
- Peer Support and Community Interventions Targeting Breastfeeding in the UK: Systematic Review of Qualitative Evidence to Identify Inequities in Participants' Experiences.Maternal & child nutrition · 2025Pooled it
- How Have Quality Improvement Strategies Been Adopted and How Has Impact Been Assessed in Care Homes for Older People? A Systematic Search and Narrative Review.International journal of older people nursing · 2025Pooled it
- Assessing fidelity measurements in school-based anxiety, depression and suicide prevention programs: a systematic review.BMC public health · 2025Pooled it
- Music-based therapeutic interventions for people with dementia.The Cochrane database of systematic reviews · 2025Pooled it
- Fidelity of Implementation of Oral Pre-Exposure Prophylaxis for HIV in Public Family Planning Clinics in Kenya: Results From a Stepped-Wedge Cluster Randomized Trial.Journal of the International AIDS Society · 2026Trial
- Caregiver App Use and Child Behavioral Adherence in Relation to Obesity-Related Outcomes in an mHealth App-Assisted Childhood Obesity Intervention: Secondary Analysis of a Cluster Randomized Trial.JMIR mHealth and uHealth · 2026Trial
- Impact of a Visualization Training Platform on PICU Nurses' Pain Assessment Skill in Critically Ill Children: A Mixed-Methods Randomized Controlled Trial.Nursing open · 2026Trial
- Trial
- Acceptability and Fidelity of a Cognitive Rehabilitation Intervention During and After Intensive Care: A Feasibility Evaluation.Nursing in critical care · 2026Trial
- Trial
- Maintaining conceptual fidelity through teacher-led adaptation: an implementation-focused mixed methods study of a school-based physical activity program.BMC public health · 2026Trial
- Feasibility of exercise training to address corticosteroid-induced changes in adolescents aged 10+ with lymphoma or leukemia during the first eight weeks of treatment: a pilot study.Frontiers in pediatrics · 2026Trial
- Nurse-led geriatric syndrome screening and intervention program for frail older inpatients in Singapore: a study protocol on implementation research and program evaluation.BMC geriatrics · 2025Trial
- Adherence and Opportunity Frequency as Predictors of Communication Outcomes from Pivotal Response Parent Training.Journal of autism and developmental disorders · 2025Trial
970 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImplementation fidelity refers to the degree to which an intervention or programme is delivered as intended. Only by understanding and measuring whether an intervention has been implemented with fidelity can researchers and practitioners gain a better understanding of how and why an intervention works, and the extent to which outcomes can be improved. DISCUSSION: The authors undertook a critical review of existing conceptualisations of implementation fidelity and developed a new conceptual framework for understanding and measuring the process. The resulting theoretical framework requires testing by empirical research. SUMMARY: Implementation fidelity is an important source of variation affecting the credibility and utility of research. The conceptual framework presented here offers a means for measuring this variable and understanding its place in the process of intervention implementation.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.