手法を比較

	実施における忠実性評価	実装研究のための統合的フレームワーク（CFIR）
分野	実装科学	実装科学
系統	Process / pipeline	Process / pipeline
提唱年	2004	2009
提唱者	National Institutes of Health Behavior Change Consortium; Bellg et al.	Damschroder, L. J., Aron, D. C., et al.
種類	Method	Framework
原典	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.	Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowson, E. (2009). Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implementation Science, 4, 50.
別名	fidelity, treatment fidelity, protocol adherence, implementation fidelity	CFIR, CFIR model, consolidated framework
関連	5	5
概要	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.	The Consolidated Framework for Implementation Research (CFIR) is a five-domain model designed to systematically evaluate the factors influencing implementation success of evidence-based interventions in health systems. Developed by Damschroder et al. (2009) and refined through extensive use across health domains, CFIR provides a structured vocabulary and taxonomy of 39 constructs that identify implementation barriers and facilitators across intervention characteristics, organizational context, individual factors, and implementation process.