A conceptual framework for implementation fidelity

被引:1551
作者
Carroll, Christopher [1 ]
Patterson, Malcolm [2 ]
Wood, Stephen [2 ]
Booth, Andrew [1 ]
Rick, Jo [2 ]
Balain, Shashi [2 ]
机构
[1] Univ Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
[2] Univ Sheffield, Inst Work Psychol, Sheffield, S Yorkshire, England
关键词
PREDICTIVE-VALIDITY; GENERAL-PRACTICE; BEHAVIOR-CHANGE; PROGRAM; PREVENTION; ADAPTATION; GUIDELINES; MANAGEMENT; ADHERENCE; SCHOOLS;
D O I
10.1186/1748-5908-2-40
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
100404 [儿少卫生与妇幼保健学];
摘要
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.
引用
收藏
页数:9
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