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Adaptation in Dissemination and Implementation Science
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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“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“Other practical constraints play a role in decisions to adapt or modify interventions [2, 15, 19, 23].”
From The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions (2019) · cites this paper as [15]
In the citing paper
“Attention to cultural factors is important in investigating modifications to EBPs because of its potential consequences in terms of healthcare disparities [15].”
From The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions (2019) · cites this paper as [15]
In the citing paper
“Some research suggests that adaptation is likely necessary to promote sustainability (7, 8, 23), although other studies suggest that certain types of adaptation decrease the benefits associated with the intervention (68, 128).”
From The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care (2018) · cites this paper as [8]
In the citing paper
“It is likely that the amount and type of adaptation that may be required will vary depending on the intervention and the context (8, 23).”
From The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care (2018) · cites this paper as [8]
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Metadata
- Authors
- Baumann, A. A., Cabassa, L. J., & Stirman, S. W.
- Venue
- Oxford Scholarship Online
- Publisher
- Oxford University Press
- Published
- 2017-11-23
- 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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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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