The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.
Process-oriented fidelity research assists in evaluation, adjustment and scaling-up of community-based interventions
Open accessAbstract
Fidelity research can help to answer essential questions about the diffusion process of innovative health interventions and provide insights for further scaling-up and institutionalization. This study assessed fidelity and reinvention in the implementation of a community-based control strategy for Aedes aegypti control. The intervention was implemented in 16 study areas in La Lisa, a municipality of Havana, Cuba. Its major components were: organization & management, capacity-building, community work and surveillance. A participatory assessment of process data was performed to determine whether the components and subcomponents were implemented, not-implemented or modified. Frequencies were tabulated over all circumscriptions (lowest level of local government) and the average was calculated for the four components. Spearman Rank correlation coefficients were calculated to explore the relationships between components. In addition, semi-structured interviews were conducted with co-ordinators of the strategy at different levels to identify difficulties encountered in the strategy's implementation. Surveillance was the most implemented component (72.9%) followed by capacity-building (54.7%). Community work and organization & management were less implemented or modified (50% and 45%, respectively). Apart from surveillance and capacity-building, all components are significantly and strongly correlated (Spearman Rank correlation coefficient > 0.70, P < 0.01). If one component is implemented in a circumscription, the other components are also likely to be implemented. It is noticeable that areas which did not undergo organizational changes commonly did not implement community work activities. Within the whole strategy, few activities were added. Scarcely implemented subcomponents were the most innovative. The difficulties encountered during implementation were related to appropriate training and skills, available time, lack of support and commitment to the strategy, lack of motivation of local leadership, and integration of actors and resources. The study showed a wide variability of fidelity in the implementation of the intervention and highlighted challenges for scaling-up and institutionalization of the community-based intervention.
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The nature of adaptations needs to be consciously captured in relation to their effect on effectiveness.
“As we learned from our empirical fidelity research [61], the nature of adaptations needs to be consciously captured in relation to their effect on effectiveness.”
From A modified theoretical framework to assess implementation fidelity of adaptive public health interventions (2015) · cites this paper as [61]
The need for an adequate fidelity-adaptation balance is strongly supported by the results of the empirical fidelity research and further research on diffusion of the empowerment strategy for dengue prevention.
“The need for such an adequate fidelity-adaptation balance, emphasized by Backer [11] and von Thiele Schwarz et al. [12], is strongly supported by the results of our empirical fidelity research [61] and further research on diffusion of the empowerment strategy for dengue prevention [69].”
From A modified theoretical framework to assess implementation fidelity of adaptive public health interventions (2015) · cites this paper as [61]
Surveillance was the most implemented component, followed by capacity building.
“Surveillance was the most implemented component followed by capacity building.”
From A modified theoretical framework to assess implementation fidelity of adaptive public health interventions (2015) · cites this paper as [61]
For adaptive interventions, an adequate fidelity-adaptation balance is needed.
“The need for such an adequate fidelity-adaptation balance, emphasized by Backer [11] and von Thiele Schwarz et al. [12], is strongly supported by the results of our empirical fidelity research [61] and further research on diffusion of the empowerment strategy for dengue prevention [69].”
From A modified theoretical framework to assess implementation fidelity of adaptive public health interventions (2015) · cites this paper as [61]
Community work and organization and management were less implemented or modified.
“Community work and organization and management were less implemented or modified [61].”
From A modified theoretical framework to assess implementation fidelity of adaptive public health interventions (2015) · cites this paper as [61]
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Cites
A conceptual framework for implementation fidelity
Carroll, C., Patterson, M., Wood, S., Booth, A., Rick, J., & Balain, S. (2007) · Implementation Science · doi:10.1186/1748-5908-2-40 · Cited by 2,559
Shediac-Rizkallah, M. C., & Bone, L. R. (1998) · Health Education Research · doi:10.1093/her/13.1.87 · Cited by 1,129
Community involvement in dengue vector control: cluster randomised trial
Vanlerberghe, V, Toledo, M. E., Rodriguez, M., Gomez, D., Baly, A., Benitez, J. R., & Van der Stuyft, P. (2009) · BMJ · doi:10.1136/bmj.b1959 · Cited by 160
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Cited by
Sorted by citations
Pérez, D., Van der Stuyft, P., Zabala, M. D. C., Castro, M., & Lefèvre, P. (2015) · Implementation Science · doi:10.1186/s13012-016-0457-8 · Cited by 237
“We conducted in the Cuban context a fidelity assessment of the implementation of an evidence-based empowerment strategy aiming at community involvement in decision-making on dengue vector control activities when it was replicated at intermediate scale [61].”
BackgroundMethodResultInfluentialSelf-citationExamining Adaptations of Evidence-Based Programs in Natural Contexts
Moore, J. E., Bumbarger, B. K., & Cooper, B. R. (2013) · The Journal of Primary Prevention · doi:10.1007/s10935-013-0303-6 · Cited by 250
Castro, M., Sánchez, L., Pérez, D., Carbonell, N., Lefèvre, P., Vanlerberghe, V., & Van der Stuyft, P. (2012) · Transactions of the Royal Society of Tropical Medicine and Hygiene · doi:10.1016/j.trstmh.2012.01.013 · Cited by 70
Self-citation
Metadata
- Authors
- Perez, D., Lefevre, P., Castro, M., Sanchez, L., Toledo, M. E., Vanlerberghe, V., & Van der Stuyft, P.
- Affiliations
- Instituto de Medicina Tropical “Pedro Kourí” (CU)
- Corresponding author
- Lefevre, P.
- Venue
- Health Policy and Planning
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-12-12
- Volume
- 26
- Issue
- 5
- Pages
- 413-422
- ISSN
- 0268-1080 (ISSN-L)
- 1460-2237
- OpenAlex
- W2168113455
- Cited by
- 39
- References
- 3
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 4 · 2013: 4 · 2012: 3
- FWCI
- 3.99
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Health Policy and Planning (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Dengue and Mosquito Control Research
- Social Sciences › Public Administration › Evaluation and Performance Assessment
- Keywords
- intervention fidelity, process fidelity, community-based intervention, Aedes aegypti control, mosquito control, scale-up, institutionalization, implementation evaluation, capacity building, surveillance (medicine), implementation barriers, participatory evaluation
- MeSH terms
- Cuba, Dengue, Diffusion of Innovation, Humans, Research, Process Assessment, Health Care, Community Networks
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