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

¹ Indiana University, Purdue University, Indianapolis
² Dartmouth University
³ University of Kansas

^* To whom correspondence should be addressed. E-mail: gbond{at}iupui.edu.

	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.

First published on May 27, 2009, doi:10.1177/1049731509335531

Research on Social Work Practice 2009;19:569.

A more recent version of this article appeared on September 1, 2009


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