Briefly explain the tension between “fidelity” and “adaptation” in the research utilization process.
What will be an ideal response?
Ans: An accepted wisdom exists that there is a tension between “fidelity” and “adaptation” of science based interventions (Backer, 2001) that revolves around:
The goal of developing universal health practices, policies, and programs;
The need to implement these with “fidelity” (or while staying true) to their rigorous design; and
The necessity of utilizing practices and policies that are responsive, appropriate, and sensitive to the needs of local communities (Castro, Barrera Jr., & Martinez 2004).
Adapt too little and communities may reject practices and policies as a “bad fit.” Adapt too much and risk violating the “core” principles of the research that led to its evaluation as science- or research-based.
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Fill in the blank(s) with the appropriate word(s).