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Feb 24, 2016 · Theoretical fidelity tells us the extent to which the intervention-as-delivered was congruent with the intervention theory (the logic and hypotheses that underpin the intervention design [16–18]).
- A conceptual framework for implementation fidelity
This paper offers a more complete conceptual framework for...
- A conceptual framework for implementation fidelity
- Conceptualisations of Implementation Fidelity and Their Limitations
- A Conceptual Framework: Background and Rationale
- Proposed Framework
- A Conceptual Framework: Elements and Relationships
A search was performed to identify literature on implementation fidelity, i.e., empirical research, reviews, or theoretical pieces. The following databases were searched with the terms "implementation fidelity" or "fidelity" within five words of "implement", "implementation", "implemented", etc.: Applied Social Sciences Index and Abstracts, Cumulat...
The concept of implementation fidelity is currently described and defined in the literature in terms of five elements that need to be measured [1, 2, 4]. These are: adherence to an intervention; exposure or dose; quality of delivery; participant responsiveness; and programme differentiation. There are certain overlaps here with the concept of proce...
All of the elements to evaluate implementation fidelity are listed in Table 1, and the relationships between them are shown in the framework depicted in Figure 1. The framework outlined in Figure 1 depicts the vital elements of implementation fidelity and their relationship to one another. The measurement of implementation fidelity is the measureme...
Adherence
Adherence is essentially the bottom-line measurement of implementation fidelity. If an implemented intervention adheres completely to the content, frequency, duration, and coverage prescribed by its designers, then fidelity can be said to be high. Measuring implementation fidelity means evaluating whether the result of the implementation process is an effective realisation of the intervention as planned by its designers. The content of the intervention may be seen as its 'active ingredients';...
Moderators
A high level of adherence or fidelity to an intervention, or its essential components, is not achieved easily. Several factors may influence or moderate the degree of fidelity with which an intervention is implemented. Each of the potential moderators of this relationship is now considered in turn.
Intervention complexity
The description of an intervention may be simple or complex, detailed or vague. Detailed or specific interventions have been found to be more likely to be implemented with high fidelity than ones that are vague. For example, a study of guidelines intended for General Practitioners (GPs) found that detailed and clear recommendations were almost twice as likely to be followed as vague and non-specific recommendations . The specificity of these guidelines was assessed by a group of researche...
- Christopher Carroll, Malcolm Patterson, Stephen Wood, Andrew Booth, Jo Rick, Shashi Balain
- 2007
Jul 8, 2016 · Fidelity is the degree to which an intervention is implemented as intended by its developers. It is meant to ensure that the intervention maintains its intended effects. Adaptation is the process of implementers or users bringing changes to the original design of an intervention.
- Dennis Pérez, Patrick Van der Stuyft, Patrick Van der Stuyft, María del Carmen Zabala, Marta Castro,...
- 2015
Treatment fidelity consists of two general components: 1) treatment integrity, the degree to which a treatment is implemented as intended, and 2) treatment differentiation, the degree to which two or more study arms differ along critical dimensions (2, 3, 4, 5).
- Belinda Borrelli
- 2011
Mar 12, 2020 · By addressing fidelity in such a comprehensive manner, it is clear to see how assumptions are minimised, and how confidence about ‘what happened and why’ during the intervention can be increased.
- Elaine C. Toomey, Wendy Hardeman, N. Hankonen, M. Byrne, Jenny McSharry, Karen Matvienko-Sikar, F. L...
- 2020
Nov 10, 2022 · Century et al. (2010) define fidelity as, “the extent to which an enacted program is consistent with the intended program model” (p. 202). Two main categories of components form their conceptual framework: (1) structural and (2) instructional.
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Mar 8, 2022 · Intervention fidelity. Implementation research. Monitoring. Definition. Process evaluation is a type of formative evaluation used to assess a program activity’s implementation in comparison to the initially planned protocol. Process evaluation measures how well intervention has been implemented.
