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Strategies for Improving Fidelity in the National Evidence-Based Practices Project

Research on Social Work PracticePublished 27 May 2009
Gary R. Bond, Robert E. Drake, Gregory J. McHugo, Charles A. Rapp, Rob Whitley
Citations133
SJR quartileQ1
SJR score0.72
SNIP1.09

TL;DR

A multipronged implementation strategy was effective in achieving high fidelity in over half of the sites seeking to implement a new EBP.

Abstract

Background: The National Evidence-Based Practices (EBPs) Project developed and tested a model for facilitating the implementation of five psychosocial EBPs for adults with severe mental illness in the United States. Methods: The implementation model was tested in 53 sites in 8 states. In each site, one of the five EBPs was adopted for implementation and then studied for a 2-year period using a combination of qualitative and quantitative methods. Findings: At baseline, none of the sites had programs attaining high fidelity. Four factors were identified as influencing fidelity: (a) EBP-specific factors, (b) governmental factors, (c) leadership factors, and (d) fidelity review factors. Conclusion: A multipronged implementation strategy was effective in achieving high fidelity in over half of the sites seeking to implement a new EBP.

Keywords

Health Professions