title: Adoption, adaptation, and fidelity of implementation of sexual violence prevention programs.
abstract: Little research examines the organizational and contextual dynamics that affect decisions to adopt evidence-based programs as well as the feasibility of implementation with fidelity to the original model when new users adopt established programs. To understand how promising strategies can be disseminated widely, this study examines the adoption and implementation of two sexual violence prevention programs in new settings. Interviews were conducted with stake-holders to investigate the factors and dynamics related to the adoption and implementation of these programs. Additionally, the research team worked with the program developers to create measures of the fidelity of implementation, which were then administered at each site. The findings suggest that adoption decisions were based on perceived fit between the program and the adopting organization's values, goals, and local setting. After adoption, new sites were able to implement the program with fairly high levels of fidelity, given moderate investments in training and technical assistance.
authors.affiliation: Division of Violence Prevention in the Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA. RNoonan@cdc.gov
authors.forename: Rita K
authors.initials: RK
authors.lastname: Noonan
authors.forename: James G
authors.initials: JG
authors.lastname: Emshoff
authors.forename: Angela
authors.initials: A
authors.lastname: Mooss
authors.forename: Michael
authors.initials: M
authors.lastname: Armstrong
authors.forename: Joanna
authors.initials: J
authors.lastname: Weinberg
authors.forename: Barbara
authors.initials: B
authors.lastname: Ball
mesh_terms: D004059:Diffusion of Innovation; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D011209:Power, Psychological; D016730:Program Development; D012307:Risk Factors; D012742:Sex Offenses / Q000517:prevention & control*; D014754:Violence / Q000517:prevention & control*