Yulian Yin, Lan Jin, Meiling Chu, Yue Zhou, Siyuan Tu, Yifan Cheng, Meina Ye, Jingjing Wu, Hongfeng Chen
Association between endocrine therapy and cognitive decline in breast cancer based on propensity score matching
Frontiers in medicine
adaptations often necessary effectively translate evidencebased interventions ebi contexts compliance ebis core components still important referred fidelityadaptation dilemma sustainment phase implementation professionals delivering ebis tasked decisionmaking regarding adaptations currently used models frameworks mostly focus initial phases implementation better understand guide professionals using ebis need explore professionals perceptions fidelityadaptation dilemma aim study consequently explore professionals perceive navigate fidelityadaptation dilemma using ebi context semistructured interviews held 19 psychologists working primary care interviews concerned ebis general cool kids evidencebased parenting education program designed children anxiety used children lower levels anxiety another setting data analyzed using inductive content analysis method analysis resulted two themes standpoint regarding fidelity adaptation clear managing fidelity adaptations complicated first theme summarizes professionals perceptions confidence either favoring fidelity adaptations well reasons made adaptations second theme professionals expressed concern sometimes meeting difficulties dilemma following original inclination second thoughts impact adaptations practice professionals generally strong preferences regarding fidelity adaptations neither preference prevented facing difficulties dilemma results point need better information possible adaptations developers also better support guidance professionals implementing ebis ensure quality implementation facilitate implementation results study inform design support professionals managing dilemma