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Research on Social Work Practice
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What's this?

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

Gary R. Bond

Indiana University, Purdue University, Indianapolis, gbond{at}iupui.edu

Robert E. Drake

Dartmouth Medical School

Gregory J. McHugo

Dartmouth Medical School

Charles A. Rapp

University of Kansas

Rob Whitley

Dartmouth Medical School

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.

Key Words: evidence-based practices • implementation • program fidelity • severe mental illness

This version was published on September 1, 2009

Research on Social Work Practice, Vol. 19, No. 5, 569-581 (2009)
DOI: 10.1177/1049731509335531
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