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


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.


Fidelity Implementation Adaptation Pragmatic measures Task shifting 



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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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