ArticleThe journal of primary prevention2019
Reconciling Adaptation and Fidelity: Implications for Scaling Up High Quality Youth Programs.
Article in The journal of primary prevention, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Therapist-Reported Adaptations to an Autism Intervention: Family-Level Predictors and Associations with Fidelity.Journal of autism and developmental disorders · 2026Article
- What counts as a core intervention component? Developing the Core-FAST (Fidelity and Adaptation for Scaling up Tool) plug-in.Implementation science communications · 2026Article
- Equipping community health workers in Rwanda to deliver a gender transformative parenting program to prevent violence against women and children at scale.Frontiers in reproductive health · 2025Article
- An assessment of adaptation and fidelity in the implementation of an audit and feedback-based intervention to improve transition to adult type 1 diabetes care in Ontario, Canada.Implementation science communications · 2024Article
- Implementation of Parenting Programs in Real-World Community Settings: A Scoping Review.Clinical child and family psychology review · 2024Article
- Assessing the Fidelity of an Affirmative Cognitive Behavioral Group Intervention.Research on social work practice · 2023Article
- Social change at the local level: A psychobiography of Khali Sweeney from Detroit's downtown boxing gym.Journal of personality · 2023Article
- Article
- Scaling Up Citizen Workshops in Public Libraries to Disseminate and Discuss Primary Care Research Results: Quasi-Experimental Study.JMIR aging · 2022Article
- Better safe than sorry: Evaluating the implementation process of a home-visitation intervention aimed at preventing unintentional childhood injuries in the hospital setting.Frontiers in health services · 2022Article
- Are shared decision making studies well enough described to be replicated? Secondary analysis of a Cochrane systematic review.PloS one · 2022Article
- Therapist adaptations to evidence-based practices and associations with implementation outcomes in child therapy sessions.Journal of consulting and clinical psychology · 2022Observational
- Adherence of HIV clinics to guidelines for the delivery of TB screening among people living with HIV/AIDS in Ghana.BMC health services research · 2021Article
- Professionals' management of the fidelity-adaptation dilemma in the use of evidence-based interventions-an intervention study.Implementation science communications · 2021Article
- A mixed methods approach to exploring the moderating factors of implementation fidelity of the integrated chronic disease management model in South Africa.BMC health services research · 2020Article
- Iterative Decision-making for Evaluation of Adaptations (IDEA): A decision tree for balancing adaptation, fidelity, and intervention impact.Journal of community psychology · 2020Article
- Process evaluation of implementation fidelity of the integrated chronic disease management model in two districts, South Africa.BMC health services research · 2019Article
- The Value Equation: Three complementary propositions for reconciling fidelity and adaptation in evidence-based practice implementation.BMC health services research · 2019Article
- Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In the field of prevention science, some consider fidelity to manualized protocols to be a hallmark of successful implementation. A growing number of scholars agree that high-quality implementation should also include some adaptations to local context, particularly as prevention programs are scaled up, in order to strengthen their relevance and increase participant engagement. From this perspective, fidelity and adaptation can both be seen as necessary, albeit mutually exclusive, dimensions of implementation quality. In this article, we propose that the relationship between these two constructs may be more complex, particularly when adaptations are consistent with the key principles underlying the program model. Our argument draws on examples from the implementation of a manualized youth voice program (YVP) in two different organizations serving six distinct communities. Through a series of retreats, implementers identified examples of modifications made and grouped them into themes. Results suggest that some adaptations were actually indicators of fidelity to the key principles of YVPs: power-sharing, youth ownership, and engagement in social change. We therefore offer suggestions for re-conceptualizing the fidelity-adaptation debate, highlight implications for measurement and assessment, and illustrate that the de facto treatment of adaptation and fidelity as opposing constructs may limit the diffusion or scaling up of these types of youth programs.
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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.