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Health Promotion Practice
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Adoption, Adaptation, and Fidelity of Implementation of Sexual Violence Prevention Programs

Rita K. Noonan, PhD

Division of Violence Prevention in the Centers for Disease Control and Prevention, Atlanta, Georgia, RNoonan{at}cdc.gov

James G. Emshoff, PhD

Department of Psychology at Georgia State University in Atlanta, Georgia, and EMSTAR Research, Inc.

Angela Mooss, MA

Georgia State University in Atlanta, Georgia

Michael Armstrong, MA

Georgia State University in Atlanta, Georgia

Joanna Weinberg, BA

Georgia State University in Atlanta, Georgia

Barbara Ball, PhD

SafePlace in Austin, Texas

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.

Key Words: program implementation • program adoption • fidelity • adaptation

Health Promotion Practice, Vol. 10, No. 1 suppl, 59S-70S (2009)
DOI: 10.1177/1524839908329374
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