J Public Health Manag Pract. 2013 Jan-Feb;19(1):1-3. doi: 10.1097/PHH.0b013e318249bc06.
Fidelity of implementation in replicating evidence-based health promotion interventions, to ensure implementation as designed and proven through research, is crucial if evidence-based community and population health interventions are to achieve promised results but can be difficult to attain in practice. This article highlights major challenges, considerations, and strategies associated with fidelity as public health care practitioners implement evidence-based interventions and bring them to scale in the field. There is need for sharing information about "what works" in implementing these interventions with fidelity, as well sharing information about implementation challenges and improvements to intervention design. Fidelity is important if practitioners are to obtain results and outcomes planned by intervention developers and is an essential value proposition for evidence-based public health practice and population health improvement.
为了确保基于证据的社区和人群健康干预措施能够实现预期的效果，在复制经过研究证明有效的健康促进干预措施时，实施的忠实度至关重要，因为这需要实施与研究设计一致的措施。然而，在实践中，这可能很难实现。本文重点介绍了公共卫生保健从业者在实施基于证据的干预措施并将其推广到实际领域时，与忠实度相关的主要挑战、考虑因素和策略。从业者需要分享有关如何忠实地实施这些干预措施的信息，包括实施挑战和干预设计的改进。忠实度对于从业者获得干预开发者计划的结果和结果非常重要，是基于证据的公共卫生实践和人群健康改善的重要价值主张。
