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The evidence behind the series
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2 references
Fixsen and colleagues synthesise implementation research to explain how evidence-based programmes can be put into routine practice with fidelity and sustainability. They distinguish the effectiveness of an intervention from the effectiveness of its implementation: strong programme evidence cannot produce intended outcomes when delivery systems are weak.
The review identifies core implementation components, including careful staff selection, preservice and in-service training, ongoing coaching and consultation, staff and programme evaluation, facilitative administration, and systems-level intervention. These components operate interactively and require feedback rather than functioning as an independent checklist. The authors also describe implementation stages—exploration, installation, initial implementation, and full implementation—and emphasise that change takes time, leadership, resources, and adaptation of organisational conditions. Fidelity and adaptation should be examined deliberately rather than treated as opposites.
For education, the synthesis directs attention beyond announcing a new practice toward building the people, data systems, coaching, administrative supports, and enabling policy environment required for reliable use.
Fixsen and colleagues synthesise implementation research to explain how evidence-based programmes can be put into routine practice with fidelity and sustainability. They distinguish the effectiveness of an intervention from the effectiveness of its implementation: strong programme evidence cannot produce intended outcomes when delivery systems are weak.
The review identifies core implementation components, including careful staff selection, preservice and in-service training, ongoing coaching and consultation, staff and programme evaluation, facilitative administration, and systems-level intervention. These components operate interactively and require feedback rather than functioning as an independent checklist. The authors also describe implementation stages—exploration, installation, initial implementation, and full implementation—and emphasise that change takes time, leadership, resources, and adaptation of organisational conditions. Fidelity and adaptation should be examined deliberately rather than treated as opposites.
For education, the synthesis directs attention beyond announcing a new practice toward building the people, data systems, coaching, administrative supports, and enabling policy environment required for reliable use.
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From sources to a coherent pathway