ArticleHealth education research2016
A qualitative analysis of the concepts of fidelity and adaptation in the implementation of an evidence-based HIV prevention intervention.
Article in Health education research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Fidelity in the context of adapting a digital intervention for depression from an evidence-based in-person format in Vietnam.BMC health services research · 2026Article
- The Complexity of Procedural Fidelity in Precision Teaching: A Qualitative Analysis.Behavior analysis in practice · 2026Article
- Key functions for the transferability of a French school-based health promotion intervention.PloS one · 2026Article
- Assessing the Implementation Fidelity of a Patient-Centered, Combination Adherence Strategy to Support HIV Antiretroviral Therapy and Pre-Exposure Prophylaxis Adherence During Pregnancy and Breastfeeding in Malawi.AIDS and behavior · 2025Article
- Implementation fidelity to HIV assisted partner services (aPS) during scale-up in western Kenya: a convergent mixed methods study.BMC health services research · 2023Article
- Community-based participatory design of a psychosocial intervention for migrant women in Ecuador and Panama.SSM. Mental health · 2022Article
- Lessons Learned from Implementing the SHIELD Intervention: A Peer Education Intervention for People Who Use Drugs.AIDS and behavior · 2021Article
- Barriers and Facilitators to Effective Implementation of the NAMWEZA Intervention in Dar es Salaam, Tanzania.Prevention science : the official journal of the Society for Prevention Research · 2021Article
- Using Stakeholder Perceptions to Inform Future Efforts to Implement Mental Health First Aid Training in China: A Qualitative Study.Frontiers in psychiatry · 2021Article
- Implementation of a group-based diabetes prevention program within a healthcare delivery system.BMC health services research · 2019Article
- Do the key functions of an intervention designed from the same specifications vary according to context? Investigating the transferability of a public health intervention in France.Implementation science : IS · 2019Article
- Performance indicator as the main and the only goal: a "dark side" of the intervention aims to accelerate HIV treatment entry among people who inject drugs in Kyiv, Ukraine.Harm reduction journal · 2019Article
- Effectiveness of an evidence-based HIV prevention intervention when implemented by frontline providers.Translational behavioral medicine · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Continued debate about the relative value of fidelity versus adaptation, and lack of clarity about the meaning of fidelity, raise concerns about how frontline service providers resolve similar issues in their daily practice. We use SISTA ('Sisters Informing Sisters on Topics about acquired immune deficiency syndrome'), an evidence-based human immunodeficiency virus (HIV) prevention intervention for African American women, to understand how facilitators and program directors interpret and enact implementation fidelity with the need for adaptation in real-world program delivery. We conducted 22 in-depth, semi-structured interviews with service providers from four agencies implementing SISTA. Facilitators valued their skills as group leaders and ability to emotionally engage participants as more critical to program effectiveness than delivering the intervention with strict fidelity. Consequently, they saw program manuals as guides rather than static texts that should never be changed and, moreover, viewed the prescriptive nature of manuals as undermining their efforts to fully engage with participants. Our findings suggest that greater consideration should be given to understanding the role of facilitators in program effectiveness over and above the question of whether they implement the program with fidelity. Moreover, training curricula should provide facilitators with transferable skills through general facilitator training rather than only program-specific or manual-specific training.
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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.