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. 2007 Nov 30:2:40.
doi: 10.1186/1748-5908-2-40.

A conceptual framework for implementation fidelity

Affiliations

A conceptual framework for implementation fidelity

Christopher Carroll et al. Implement Sci. .

Abstract

Background: Implementation 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.

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Figures

Figure 1
Figure 1
Conceptual framework for implementation fidelity.

References

    1. Dusenbury L, Brannigan R, Falco M, Hansen W. A review of research on fidelity of implementation: Implications for drug abuse prevention in school settings. Health Educ Res. 2003;18:237–256. doi: 10.1093/her/18.2.237. - DOI - PubMed
    1. Dane A, Schneider B. Program integrity in primary and early secondary prevention: Are implementation effects out of control. Clin Psychol Rev. 1998;18:23–45. doi: 10.1016/S0272-7358(97)00043-3. - DOI - PubMed
    1. Elliot D, Mihalic S. Issues in disseminating and replicating effective prevention programs. Prev Sci. 2004;5:47–53. doi: 10.1023/B:PREV.0000013981.28071.52. - DOI - PubMed
    1. Mihalic S. The importance of implementation fidelity. Emotional & Behavioral Disorders in Youth. 2004;4:83–86. and 99–105.
    1. Mihalic S. Blueprints Violence Prevention Initiative. Boulder, Colorado; 2002. The importance of implementation fidelity.