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Adherence and Flexibility: They Can (and Do) Coexist!
Authors:Rex Forehand  Shannon Dorsey  Deborah J Jones  Nicholas Long  Robert J McMahon
Abstract:Clin Psychol Sci Prac 17: 258–264, 2010] Using their experiences disseminating the Triple P parenting program, Mazzucchelli and Sanders (2010) make a strong case for how flexibility enhances provider satisfaction, critical thinking about intervention delivery, and most importantly, adherence and fidelity. Their article makes an outstanding and innovative contribution to the literature on implementation research, advancing the field to a view of flexibility as a feature that may facilitate adherence. In this commentary, we place Mazzucchelli and Sanders’s work within the context of ongoing implementation research. We also call for embedding questions about implementation science into effectiveness trials to better inform dissemination efforts aimed at facilitating provider adoption and adherence to empirically supported treatments.
Keywords:adherence  dissemination  flexibility  parenting programs
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