Fidelity in Evidence-Based Practice
One of the most important considerations when implementing an evidence-based practice is fidelity (sometimes called adherence or integrity) to the original approach. Preserving the components that made the original practice effective can directly impact the success of desired outcomes.
Assessing Treatment Integrity: A Case Example
Zeira, Blythe, & Reithoffer
Family Preservation Journal, 9, 2006
Presents an example of assessing treatment integrity as part of an experimental study of home-based, intensive family preservation services.
Fidelity Outcomes in the National Implementing Evidence-Based Practices Project
McHugo, Drake, Whitley, Bond, Campbell, Rapp, et al.
Psychiatric Services, 58(10), 2007
Presents fidelity outcomes for five evidence-based practices that were implemented in routine public mental health settings in the National Implementing Evidence-Based Practices Project.
Intensive Family Preservation Programs: Program Fidelity Influences Effectiveness (PDF - 44 KB)
Washington State Institute for Public Policy (2006)
Re-examines 2004 evaluations of Intensive Family Preservation Services programs based on fidelity to the Homebuilders model. The article supports the view that fidelity to program design can determine whether or not an individual program is effective in achieving its goals.
Intensive Family Preservation Services: Demonstrating Placement Prevention Using Event History Analysis
Kirk & Griffith
Social Work Research, 28, 2004
Demonstrates that in contrast to previous research, intensive family preservation services are effective in reducing out-of-home placements when model fidelity is high and the service is targeted appropriately.
The Pitch for High Fidelity (PDF - 48 KB)
Evidence-Based Associates (2006)
Describes, in selected articles from Youth Today, how developers of evidence-based models track programs for strict adherence.
Role of Fidelity in Quality Improvement Efforts [Teleconference]
FRIENDS National Resource Center for Community-Based Child Abuse Prevention (2008)
Provides information for CBCAP leads in implementing evidence-based programs and monitoring for fidelity from Karen Blase at the National Implementation Research Network.
Seven Activities for Enhancing the Replicability of Evidence-Based Practices (PDF - 164 KB)
Metz, Bowie, & Blase
Child Trends Research-to-Results Brief, 2007
Defines program replication, describes the critical role of core components in program replication, and outlines seven activities that program developers and researchers can conduct to enhance the replicability of effective program models and facilitate their adoption by other organizations and programs.
Strategies for Improving Fidelity in the National Evidence-Based Practices Project
Bond, Drake, McHugo, Rapp, & Whitley
Research on Social Work Practice, 19(5), 2009
Reviews a model developed and tested by the National Evidence-Based Practices Project for facilitating the implementation of five evidence-based practices in psychosocial settings.