The cultural adaptation of prevention interventions: Resolving tensions between fidelity and fit
The cultural adaptation of prevention interventions: Resolving tensions between fidelity and fit
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DOI：
10.1023/b:prev.0000013980.12412.cd
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发表时间：
2004-03-01
影响因子：
3.5
通讯作者：
Martinez, CR
中科院分区：
文献类型：
--
作者：
Castro, FG;Barrera, M;Martinez, CR
一个动态的紧张局势已经在预防科学发展的两个必要条件：（a）保真度的实施提供一个手动的预防干预计划，由程序开发人员规定，和（B）程序的调整修改程序的内容，以适应特定的消费群体的需求。本文探讨了这个复杂的方案问题，从一个以社区为基础的参与式研究方法，强调激励社区参与，以提高方案的成果。几个问题，关键概念和实施战略下提出的战略方针，以解决问题的保真度和适应。尽管注意到忠实和适应之间的紧张关系，两者都是预防干预计划设计的基本要素，最好通过有计划的，有组织的和系统的方法来解决。为了实现这一目标，一个创新的方案设计战略是开发混合预防方案，“建立”适应，以提高方案的适合性，同时也最大限度地提高保真度的实施和方案的有效性。
A dynamic tension has developed in prevention science regarding two imperatives: (a) fidelity of implementation-the delivery of a manualized prevention intervention program as prescribed by the program developer, and (b) program adaptation-the modification of program content to accommodate the needs of a specific consumer group. This paper examines this complex programmatic issue from a community-based participatory research approach for program adaptation that emphasizes motivating community participation to enhance program outcomes. Several issues, key concepts, and implementation strategies are presented under a strategic approach to address issues of fidelity and adaptation. Despite the noted tension between fidelity and adaptation, both are essential elements of prevention intervention program design and they are best addressed by a planned, organized, and systematic approach. Towards this aim, an innovative program design strategy is to develop hybrid prevention programs that "build in" adaptation to enhance program fit while also maximizing fidelity of implementation and program effectiveness.