Methoden vergleichen

	Fidelity Assessment in der Implementierung	Hochskalierung von Gesundheitsinterventionen
Fachgebiet	Implementierungsforschung	Implementierungsforschung
Familie	Process / pipeline	Process / pipeline
Entstehungsjahr	2004	2007
Urheber	National Institutes of Health Behavior Change Consortium; Bellg et al.	Simmons, R., Fajans, P., Ghiron, L. (World Health Organization)
Typ	Method	Framework
Wegweisende Quelle	Bellg, A. J., Borrelli, B., Resnick, B., Hecht, J., Minicucci, D. S., Ory, M., ... & Treatment Fidelity Workgroup of the National Institutes of Health Behavior Change Consortium. (2004). Enhancing treatment fidelity in health behavior change studies: Best practices and recommendations from the NIH Behavior Change Consortium. Health Psychology, 23(5), 443-451.	Simmons, R., Fajans, P., & Ghiron, L. (Eds.). (2007). Scaling Up Health Service Delivery: From Pilot Innovations to Policies and Programmes. World Health Organization, Geneva.
Aliasnamen	fidelity, treatment fidelity, protocol adherence, implementation fidelity	scaling up, expansion, scale, dissemination
Verwandt	5	5
Zusammenfassung	Fidelity Assessment is the systematic measurement of the degree to which an intervention is delivered as designed in real-world practice. Formalized by the National Institutes of Health Behavior Change Consortium (Bellg et al. 2004) and expanded in MRC guidance (Moore et al. 2015), fidelity assessment is critical to implementation science because it answers: 'Did we deliver the intervention correctly?' A clinical trial may show a treatment works, but if delivered poorly in practice, benefits disappear. Fidelity assessment prevents misattribution of failure (was the intervention weak, or was implementation poor?) and guides coaching to improve quality.	Scaling Up is the deliberate expansion of successful health interventions from pilot sites to entire health systems, regions, or countries. Formalized by the World Health Organization (WHO) and Simmons et al. (2007), scaling up is distinct from simple dissemination; it requires systematic planning, financial modeling, capacity building, and policy alignment to ensure interventions work at scale. A pilot that succeeds brilliantly with champion leadership, dedicated funding, and motivated staff may fail when scaled to routine settings with limited resources. Scaling Up frameworks help practitioners anticipate and overcome these challenges.