The Tug-of-War: Fidelity Versus Adaptation Throughout the Health Promotion Program Life Cycle

Bopp, Melissa; Saunders, Ruth P.; Lattimore, Diana

doi:10.1007/s10935-013-0299-y

Cited by 116 publications

(131 citation statements)

References 40 publications

Supporting

Mentioning

123

Contrasting

Unclassified

Order By: Relevance

“…Researchers have often conceptualized sustainability as the final stage in the overall life cycle of an intervention, including development, adoption, implementation (with potential adaptations), and sustainability (14,31,52,110,115,118). For example, the EPIS (Exploration, Preparation, Implementation, and Sustainment) model frames implementation as a process influenced by multilevel factors over time, starting with exploration and concluding with sustainment (2).…”

Section: Conceptualizing Sustainability As Process Versus Outcomementioning

confidence: 99%

The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care

Shelton

Cooper

Stirman

2018

Annu. Rev. Public Health

444

569

View full text Add to dashboard Cite

intensity for the sustained achievement of desirable program goals and population outcomes. This understudied area has been identified as one of the most significant translational research problems. Adding to this challenge is uncertainty regarding the extent to which intervention adaptation and evolution are necessary to address the needs of populations that differ from those in which interventions were originally tested or implemented. This review critically examines and discusses conceptual and methodological issues in studying sustainability, summarizes the multilevel factors that have been found to influence the sustainability of interventions in a range of public health and health care settings, and highlights key areas for future research. AbstractThere is strong interest in implementation science to address the gap between research and practice in public health. Research on the sustainability of evidence-based interventions has been growing rapidly. Sustainability has been defined as the continued use of program components at sufficient (17,97,109). Although numerous evidence-based public health interventions and clinical preventive strategies and treatments are available, it can be challenging to implement and sustain them outside of controlled settings, particularly if they were originally tested in narrow populations or unrepresentative circumstances (49). As a rapidly growing field, implementation science has focused on understanding factors and strategies that influence the initial adoption and integration of evidence-based interventions (EBIs) in real-world settings (103). Whereas significant advancements have been made in understanding the adoption and implementation of EBIs across a range of community and health care settings, less is known about their sustainability. Recently, experts have prioritized sustainability as an understudied area (45), identifying it as "one of the most significant translational research problems of our time" (103, p. 2) and as a persistent challenge across a range of settings and service delivery sectors, and across health behaviors and outcomes.Maximizing the public health impact of EBIs will require investing in sustainability research. This research will enable us to better understand what factors and processes influence the sustainability of interventions and how to plan proactively for the continuation of EBIs. Moreover, there has been growing consideration of the policy and ethical implications of developing effective health programs without investing in sustainability (118). Researchers, health leaders, advocates, policy makers, practitioners, and funders alike have concerns about the long-term impact and value of their investment in discontinued interventions. In addition to lost investments, time, and resources, there are other reasons for which advancing our understanding of the sustainability of EBIs has value (99, 122). Maintaining effective programs and practices is critical for achieving health benefits, particularly if there is a latency period betwee...

show abstract

Section: Conceptualizing Sustainability As Process Versus Outcomementioning

confidence: 99%

The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care

Shelton

Cooper

Stirman

2018

Annu. Rev. Public Health

444

569

View full text Add to dashboard Cite

show abstract

“…After several elders received massage, the village residents were more open to receiving massage. As other groups in Ghana have indicated, engaging the elders was the single most important factor in the success of the massage program, (24) as was also the case with this program.…”

Section: No Familiarity With Massage Therapymentioning

confidence: 75%

Utilizing Chair Massage to Address One Woman’s Health in Rural Ghana West Africa: a Case Report

C¹

2016

IJTMB

View full text Add to dashboard Cite

Background and Objectives:There is limited access to health care in rural Ghana and virtually no rehabilitative services available. This situation presents a unique opportunity to utilize chair massage in addressing women's health in rural Ghana, particularly when it comes to muscle pain and fatigue from heavy labor. The objective of this case report is to determine the results of chair massage as a strategy to reduce neck, shoulder, and back pain, while increasing range of motion.Case Presentation: The patient is a 63-yearold Ghanaian female, who was struck by a public transport van while carrying a 30-50 pound load on her head, two years prior. The accident resulted in a broken right humerus and soft tissue pain. A traditional medicine practitioner set the bone, however there was no post-accident rehabilitation available. At the time of referral, she presented complaints of shoulder, elbow, and wrist pain. In addition, she was unable to raise her right hand to her mouth for food intake.Results: The results of this case report include an increase in range of motion, as well as elimination of pain in the right shoulder, elbow, and hand. Visual assessments showed an approximate increase of ROM within the ranges of 45-65 degrees in the right arm, as well as 10-15 degrees in 4th and 5th fingers. There was also a decrease in muscle hypertonicity in the thoracic and cervical areas, and a profound increase in quality of life for the patient.Discussion: This case report illustrates how therapeutic chair massage was utilized to address a common health concern for one woman in rural Ghana. It also demonstrates that pre-existing musculoskeletal disorders and pain may be eliminated with massage intervention. Massage therapy may be important to ameliorating certain types of health problems in remote rural villages in low income countries.

show abstract

“…The consultants were trained to present the NAP SACC materials with fidelity. While cultural relativity is always important, there is research showing that effective implementation of programming should adhere to the previously determined guidelines to achieve the best outcomes [15]; yet allowing for some adaptation to maximize benefits [16].…”

Section: Discussionmentioning

confidence: 99%

The Maine Nutrition and Physical Activity Self Assessment for Childcare (NAP SACC) Experience

Martin¹

2014

J Child Adolesc Behav

View full text Add to dashboard Cite

Background: More than half of all children in the U.S. aged 3 to 6 years are enrolled in childcare centers. In Maine, there are over 2,000 licensed centers. Maine received funds from the federal Department of Health and Human Services' Communities Putting Prevention to Work to promote the adoption of Nutrition and Physical Activity Self Assessment for Child Care (NAP SACC), an evidenced-based program for the childcare setting. Consultant training was provided using the states' health program delivery network -the Healthy Maine Partnership (HMPs). Each HMP NAP SACC consultant was then required to recruit two or more childcare centers to implement NAP SACC.

show abstract

The Tug-of-War: Fidelity Versus Adaptation Throughout the Health Promotion Program Life Cycle

Cited by 116 publications

References 40 publications

The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care

The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care

Utilizing Chair Massage to Address One Woman’s Health in Rural Ghana West Africa: a Case Report

The Maine Nutrition and Physical Activity Self Assessment for Childcare (NAP SACC) Experience

Contact Info

Product

Resources

About