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Cited by 152Health Policy Implementation ScienceHealth Sciences Research and EducationClinical practice guidelines implementation

Adaptation in Dissemination and Implementation Science

Baumann, Ana A., Cabassa, Leopoldo J., Stirman, Shannon Wiltsey·2017·Oxford Scholarship Online
DOI 10.1093/oso/9780190683214.003.0017
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Abstract

This chapter focuses on adaptations in the context of dissemination and implementation research and practice. Consistent with the existing literature, the authors recommend that adaptations be proactively and iteratively determined, strongly informed by a variety of stakeholders, and that efforts be made to carefully describe and document the nature of the adaptations and evaluate their impact on desired service, health, and implementation outcomes. While this chapter focuses on adaptations to interventions and the context of practice, the authors also note that adaptations may need to be made to implementation strategies. Following the call by Proctor and colleagues for further precision in defining and operationalizing implementation strategies, and based on evidence that scholars are not necessarily reporting what and how they are adapting the interventions, scholars are urged to define and evaluate the adaptations they are making not only to the interventions and context of practice but also to the implementation strategies.

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  • In practice, implementation is often characterized by adaptation: the implementer makes implementation decisions to adapt the program to the context and always creates an alternative implementation solution.

    “Rather, in practice, implementation is often characterized by adaptation: the implementer makes implementation decisions to adapt the program to the context and always creates an alternative implementation solution [19, 20].”

    From Balancing Fidelity and Adaptation: Action‐Oriented Research Towards Implementing a Nutrition Education Program Among Adolescents (2025) · cites this paper as [19]

  • Health promotion program developers often expect high implementation fidelity to positively impact intended intervention outcomes.

    “HP program developers often expect high implementation fidelity, operationalized as the degree to which an intervention was implemented as intended by the developers [16, 17, 18], to positively impact its intended intervention outcomes [19].”

    From Balancing Fidelity and Adaptation: Action‐Oriented Research Towards Implementing a Nutrition Education Program Among Adolescents (2025) · cites this paper as [19]

  • It is important from the start of development that both program developers and implementers consider how to achieve a balance between fidelity and adaptation, guided by the context.

    “It is therefore important that already from the start of the development process, both program developers and implementers consider how to achieve a balance between fidelity and adaptation, guided by the context in which an HP program is implemented [6, 19, 22].”

    From Balancing Fidelity and Adaptation: Action‐Oriented Research Towards Implementing a Nutrition Education Program Among Adolescents (2025) · cites this paper as [19]

  • Inconsistent reporting has resulted in uncertainty regarding modification's impact on health and the types of modifications that can maximize implementation success.

    “Inconsistent reporting has resulted in uncertainty regarding modification’s impact on health and the types of modifications that can maximize implementation success [15, 16].”

    From The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions (2019) · cites this paper as [15]

  • The 2013 and 2017 frameworks laid out distinct forms of modification that could be made to the content or mode of delivery, but they did not specify when those modifications were designed to address important differences between the original population and the stakeholders in the current implementation effort (i.e., cultural adaptations).

    “For example, while the 2013 and 2017 frameworks [15, 16] laid out distinct forms of modification that could be made to the content or mode of delivery, they did not specify when those modifications were designed to address important differences between the original population and the stakeholders in the current implementation effort (i.e., cultural adaptations).”

    From The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions (2019) · cites this paper as [15]

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Authors
Baumann, A. A., Cabassa, L. J., & Stirman, S. W.
ORCID
Venue
Oxford Scholarship Online
Publisher
Oxford University Press
Published
2017-11-23
DOI
10.1093/oso/9780190683214.003.0017
OpenAlex
W3208020497
Cited by
151
References
0
Citations by year
2026: 1 · 2025: 16 · 2024: 19 · 2023: 16 · 2022: 24 · 2021: 23 · 2020: 19 · 2019: 16 · 2018: 16 · 2017: 1
FWCI
15.48
Type
book
Language
en
Open access
closed
Locations
Oxford University Press eBooks (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Keywords
adaptation, dissemination and implementation research, intervention adaptation, implementation strategies, stakeholder engagement, implementation outcomes, practice context

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