Rush University College of Nursing, Chicago, 600 South Paulina St., Armour Academic Center, Office 1041A, Chicago, IL 60612, USA.
Res Nurs Health. 2010 Apr;33(2):164-73. doi: 10.1002/nur.20373.
Implementation fidelity is the degree to which an intervention is delivered as intended and is critical to successful translation of evidence-based interventions into practice. Diminished fidelity may be why interventions that work well in highly controlled trials may fail to yield the same outcomes when applied in real life contexts. The purpose of this paper is to define implementation fidelity and describe its importance for the larger science of implementation, discuss data collection methods and current efforts in measuring implementation fidelity in community-based prevention interventions, and present future research directions for measuring implementation fidelity that will advance implementation science.
实施保真度是指干预措施实施的程度符合预期，这对于将基于证据的干预措施成功转化为实践至关重要。保真度降低可能是为什么在高度受控的试验中效果良好的干预措施在实际应用中无法产生相同结果的原因。本文的目的是定义实施保真度，并描述其对实施科学这一大科学的重要性，讨论在基于社区的预防干预中测量实施保真度的数据收集方法和当前努力，并提出未来将推进实施科学的测量实施保真度的研究方向。
