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Issues in disseminating and replicating effective prevention programs.

Delbert S Elliott1, Sharon Mihalic

  • 1Center for the Study and Prevention of Violence, Institute of Behavioral Science, University of Colorado, Boulder 80303, USA. delbert.elliott@colorado.edu

Prevention Science : the Official Journal of the Society for Prevention Research
|April 3, 2004
PubMed
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Effective dissemination and implementation of prevention programs require careful attention to site selection, training, technical assistance, fidelity, and sustainability. Independent fidelity monitoring ensures successful program replication and sustainability.

Area of Science:

  • Prevention Science
  • Program Implementation Science
  • Public Health Research

Background:

  • Building a scientific knowledge base for disseminating and implementing effective prevention programs with fidelity is a critical area for research.
  • The Blueprints for Violence Prevention-Replication Initiative aimed to identify factors influencing successful program implementation.

Purpose of the Study:

  • To present findings from the Blueprints for Violence Prevention-Replication Initiative.
  • To identify factors that enhance or impede the successful implementation of prevention programs.
  • To inform the local adaptation-fidelity debate in prevention research.

Main Methods:

  • Overview of findings from the Blueprints for Violence Prevention-Replication Initiative.
  • Analysis organized around five key implementation tasks: site selection, training, technical assistance, fidelity, and sustainability.

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  • Inclusion of independent monitoring of fidelity.
  • Main Results:

    • Careful attention to site selection, training, technical assistance, fidelity, and sustainability enhanced implementation success.
    • Independent monitoring of fidelity was crucial for achieving high fidelity and sustainability.
    • Factors influencing successful implementation were identified across the five key tasks.

    Conclusions:

    • Successful implementation of prevention programs with high fidelity and sustainability is achievable through meticulous attention to implementation tasks.
    • Independent fidelity monitoring is a key component for ensuring program effectiveness during replication.
    • Findings provide insights into the ongoing debate regarding local adaptation versus strict fidelity in prevention program implementation.