The push and pull between treatment fidelity and adaptation to fit with a particular population or setting is a constant challenge for dissemination and implementation scientists. A recent article, led by one of our RE-AIM Workgroup members, Dr. Diane King used the RE-AIM framework to assess the implementation of a standard curriculum to prepare health professionals to use an evidence-based approach to reduce alcohol misuse–screening, brief intervention, and referral to treatment (SBRIT). Dr. King and her team found that different health professions used the standard curriculum in different ways, but all resulted in students who were prepared and confident to delivery SBIRT in practice. There is a great discussion on how adaptations were made based on previous training students had received that resulted in a reduced ‘dose’ of the curriculum and on discipline specific standards (e.g., discipline specific screening tools). Clink the picture below and check out the full paper. It is definitely worth a read.
