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The Journal of Primary Prevention

, Volume 40, Issue 1, pp 137–141 | Cite as

Testing and Exploring the Limits of Traditional Notions of Fidelity and Adaptation in Implementation of Preventive Interventions

  • Cara C. LewisEmail author
  • Aaron R. Lyon
  • Sacha A. McBain
  • Sara J. Landes
Commentary

Abstract

This commentary reflects on key challenges raised across the articles of this special issue, notably the tension between fidelity and adaptation, the importance of articulating core components and principles of evidence-based programs, the need for pragmatic measures, and the challenges associated with articulating and testing mechanisms of implementation strategies. These challenges are amplified in the context of prevention research where task shifting, or revising professional roles, is especially common. Synergies with work emerging from the Society for Implementation Research Collaboration are highlighted throughout.

Keywords

Fidelity Implementation Adaptation Pragmatic measures Task shifting 

Notes

References

  1. Aitken, M. E., Rose, A., Mullins, S. H., Miller, B. K., Nick, T., Rettiganti, M., et al. (2016). Grandmothers’ beliefs ans practices in infant safe sleep. Maternal and Child Health Journal, 20(7), 1464–1471.CrossRefGoogle Scholar
  2. Lewis, C. C., Klasnja, P., Powell, B. J., Lyon, A. R., Tuzzio, L., Jones, S., et al. (2018). From Classification to Causality: Advancing Understanding of Mechanisms of Change in Implementation Science. Front Public Health, 6, 136.  https://doi.org/10.3389/fpubh.2018.00136.CrossRefGoogle Scholar
  3. Lewis, C. C., Stanick, C. F., Martinez, R. G., Weiner, B. J., Kim, M., Barwick, M., et al. (2015). The Society for Implementation Research Collaboration Instrument Review Project: A methodology to promote rigorous evaluation. Implementation Science, 10, 2.  https://doi.org/10.1186/s13012-014-0193-x.CrossRefGoogle Scholar
  4. Powell, B. J., Waltz, T. J., Chinman, M. J., Damschroder, L. J., Smith, J. L., Matthieu, M. M., et al. (2015). A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. Implementation Science, 10, 21.  https://doi.org/10.1186/s13012-015-0209-1.CrossRefGoogle Scholar
  5. Society for Implementation Research Collaboration (SIRC). https://societyforimplementationresearchcollaboration.org/.
  6. WHO. (2008). Task shifting: Rational redistribution of tasks among health workforce teams: global recommendations and guidelines. Retrieved from Geneva, Switzerland: http://apps.who.int/iris/bitstream/handle/10665/43821/9789?sequence=1.

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Cara C. Lewis
    • 1
    • 2
    Email author
  • Aaron R. Lyon
    • 2
  • Sacha A. McBain
    • 3
    • 4
  • Sara J. Landes
    • 3
    • 4
  1. 1.Kaiser Permanente Washington Health Research InstituteSeattleUSA
  2. 2.Department of Psychiatry and Behavioral SciencesUniversity of Washington School of MedicineSeattleUSA
  3. 3.VISN 16 South Central Mental Illness Research Education and Clinical Center (MIRECC)Central Arkansas VA Health Care SystemNorth Little RockUSA
  4. 4.Department of PsychiatryUniversity of Arkansas for Medical SciencesLittle RockUSA

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