Module 2: Fidelity & Adaptation of Interventions in Implementation Science

Fidelity & Adaptation (38 minutes)
Dr. David Chambers, National Cancer Institute

Suggested Readings

  • Allen JD, Shelton RC, Emmons KM, Linnan LA. Fidelity and its relationship to implementation effectiveness, adaptation, and dissemination. In: Brownson RC, Colditz GA, Proctor EK. Dissemination and Implementation Research in Health: Translating Science to Practice. New York, NY: Oxford University Press; 2012:267-284.
  • Baumann A, Cabassa L, Wiltsey-Stirman S. Adaptation in dissemination and implementations science. In: Brownson RC, Colditz GA, Proctor EK. Dissemination and Implementation Research in Health: Translating Science to Practice. New York, NY: Oxford University Press; 2012:285-300.
  • Castro FG, Yasui M. Advances in EBI Development for diverse populations: towards a science of intervention adaption. Prev Sci. 2017;18(6):623-629. doi:10.1007/s11121-017-0809-x.
  • Chambers DA, Norton WE. The adaptome: advancing the science of intervention adaptation. Am J Prev Med. 2016;51(4 Suppl 2):S124-131. doi:10.1016/j.amepre.2016.05.011.
  • Fernandez ME, Dolan Mullen P, Leeman J, Walker TJ, Escoffery C. Evidence-based cancer practices, programs, and Interventions. In: Chambers DA, Vinson CA, Norton WE, eds. Advancing the Science of Implementation Across the Cancer Continuum. New York, NY: Oxford University Press; 2018:21-40.
  • Gonzales NA. Expanding the cultural adaptation framework for population-level impact. Prev Sci. 2017;18(6):689-693. doi:10.1007/s11121-017-0808-y.
  • Stirman SW, Baumann AA, Miller CJ. The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions. Implement Sci. 2019;14(1):58. doi:10.1186/s13012-019-0898-y.

Self-Reflection Questions

  • Will you need to make any adaptations to your evidence-based intervention? If so, what aspects might need to be adapted, and what process would you use to guide those adaptations? Will you be considering how the intervention is likely to be adapted as it is delivered?
  • Will you be measuring and monitoring the fidelity with which the evidence-based intervention is delivered? If so, how? If not, why not? To what degree is there evidence that associated level of fidelity with patient outcomes?