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Issues in Disseminating and Replicating Effective Prevention Programs
Abstract
The new frontier for prevention research involves building a scientific knowledge base on how to disseminate and implement effective prevention programs with fidelity. Toward this end, a brief overview of findings from the Blueprints for Violence Prevention-Replication Initiative is presented, identifying factors that enhance or impede a successful implementation of these programs. Findings are organized around five implementation tasks: site selection, training, technical assistance, fidelity, and sustainability. Overall, careful attention to each of these tasks, together with an independent monitoring of fidelity, produced a successful implementation with high fidelity and sustainability. A discussion of how these findings inform the present local adaptation-fidelity debate follows.
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The fidelity with which an intervention is implemented affects how well it succeeds.
“It has been demonstrated that the fidelity with which an intervention is implemented affects how well it succeeds [1-5].”
From A conceptual framework for implementation fidelity (2007) · cites this paper as [3]
Implementation fidelity acts as a potential moderator of the relationship between interventions and their intended outcomes.
“Implementation fidelity acts as a potential moderator of the relationship between interventions and their intended outcomes.”
From A conceptual framework for implementation fidelity (2007) · cites this paper as [3]
The potential role of facilitation strategies was suggested by research aiming to evaluate the implementation fidelity of specific interventions that put in place strategies to optimise the level of fidelity achieved.
“The potential role of facilitation strategies was suggested by research aiming to evaluate the implementation fidelity of specific interventions that put in place strategies to optimise the level of fidelity achieved.”
From A conceptual framework for implementation fidelity (2007) · cites this paper as [3]
Most implementation fidelity research focuses solely on a fidelity score determined almost exclusively by adherence.
“With the exception of a few studies that do measure quality of delivery or participant responsiveness [8,20,38], most implementation fidelity research focuses solely on a fidelity score determined almost exclusively by adherence [3,6-8,21,22,27-29,38,39].”
From A conceptual framework for implementation fidelity (2007) · cites this paper as [3]
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Metadata
- Authors
- Elliott, D. S., & Mihalic, S.
- Affiliations
- University of Colorado Boulder (US)
- Corresponding author
- Elliott, Delbert S.
- ORCID
- Elliott, Delbert S.
- Venue
- Prevention Science
- Published
- 2004-03
- Volume
- 5
- Issue
- 1
- Pages
- 47-53
- ISSN
- 1389-4986 (ISSN-L)
- 1573-6695
- OpenAlex
- W2034770289
- Semantic Scholar
- 8ddc116f62d22d8c8ad4cf7a7fdae34d7801799c
- Cited by
- 794
- References
- 22
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 27 · 2023: 29 · 2022: 22 · 2021: 33 · 2020: 39 · 2019: 42 · 2018: 30 · 2017: 38 · 2016: 33 · 2015: 57 · 2014: 62 · 2013: 57 · 2012: 72
- FWCI
- 41.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Prevention Science (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Public Administration › Evaluation and Performance Assessment
- Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
- Keywords
- program replication, implementation fidelity, violence prevention, technical assistance, site selection, employee training, program sustainability, local adaptation, implementation monitoring
- MeSH terms
- Diffusion of Innovation, Preventive Health Services, United States, Program Evaluation
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