{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T04:26:09Z","timestamp":1777782369217,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2016,12,25]],"date-time":"2016-12-25T00:00:00Z","timestamp":1482624000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Administration on Aging (AoA), Administration for Community Living (ACL), U.S. Department of Health and Human Services","award":["#90AE0322"],"award-info":[{"award-number":["#90AE0322"]}]},{"name":"Administration on Aging (AoA), Administration for Community Living (ACL), U.S. Department of Health and Human Services","award":["#90AE0341"],"award-info":[{"award-number":["#90AE0341"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:p>Evidence-based (EB) programs provide a tested means for addressing serious public health concerns. While establishing and maintaining fidelity to these programs is critical for high-quality outcomes, unfortunately, implementation reports rarely describe the strategies used to train and monitor fidelity in community-based implementations. Thus, an essential translational ingredient is a clearly articulated model for establishing a systemic, sustainable fidelity framework. This article provides a detailed description of the fidelity-focused framework developed for Michigan\u2019s statewide implementation of the Savvy Caregiver Program. This framework, titled Creating Confident Caregivers\u00ae (CCC), instilled conceptual understanding of fidelity, practice adherence, and competence via ongoing progressive practitioner training, peer observation, participant evaluation, and experiential assessments. Practitioners maintained very high evaluations from participants, and a select cadre of practitioners achieved master trainer status to monitor regional fidelity. This framework promotes sustainable fidelity to EB interventions and provides a replicable platform for other community-based implementations.<\/jats:p>","DOI":"10.1177\/0733464816684623","type":"journal-article","created":{"date-parts":[[2017,1,18]],"date-time":"2017-01-18T20:40:19Z","timestamp":1484772019000},"page":"1450-1471","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Implementing Sustainable Evidence-Based Interventions in the Community: A Fidelity-Focused Training Framework for the Savvy Caregiver Program"],"prefix":"10.1177","volume":"37","author":[{"given":"Carey Wexler","family":"Sherman","sequence":"first","affiliation":[{"name":"Institute for Social Research, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally C.","family":"Steiner","sequence":"additional","affiliation":[{"name":"Aging & Adult Services Agency, Michigan Department of Health and Human Services,Lansing, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,12,25]]},"reference":[{"key":"bibr1-0733464816684623","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.23.5.443"},{"key":"bibr2-0733464816684623","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2011.00233.x"},{"key":"bibr3-0733464816684623","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20373"},{"key":"bibr4-0733464816684623","doi-asserted-by":"crossref","unstructured":"Carroll C., Patterson M., Wood S., Booth A., Rick J., Balain S. (2007). A conceptual framework for implementation fidelity. Implementation Science, 2. Retrieved from http:\/\/implementationscience.biomedcentral.com\/articles\/10.1186\/1748-5908-2-40","DOI":"10.1186\/1748-5908-2-40"},{"key":"bibr5-0733464816684623","doi-asserted-by":"publisher","DOI":"10.1093\/clipsy.bpi046"},{"key":"bibr6-0733464816684623","doi-asserted-by":"publisher","DOI":"10.1300\/J010v33n03_03"},{"key":"bibr7-0733464816684623","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2006.06.019"},{"key":"bibr8-0733464816684623","doi-asserted-by":"publisher","DOI":"10.1177\/0733464807308621"},{"key":"bibr9-0733464816684623","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/43.6.908"},{"key":"bibr10-0733464816684623","doi-asserted-by":"publisher","DOI":"10.3928\/00989134-20070301-06"},{"key":"bibr11-0733464816684623","unstructured":"Maslow K. (2012). Translating innovation to impact: Evidence-based interventions to support people with Alzheimer\u2019s disease and their caregivers at home and in the community. Retrieved from http:\/\/www.aoa.acl.gov\/AoA_Programs\/HPW\/Alz_Grants\/docs\/TranslatingInnovationtoImpactAlzheimersDisease.pdf"},{"key":"bibr12-0733464816684623","unstructured":"McCallion P., Ferretti L. A., Brick M. (2008). Effective practice standard (EPS): Program fidelity as quality assurance\/Quality improvement (NCOA\/ASA Joint Conference Presentation). Washington, DC. Retrieved from http:\/\/www.nacddarchive.org\/nacdd-initiatives\/arthritis\/McCallion_Ferretti_July28_Fidelity_EPSrevised.pdf"},{"key":"bibr13-0733464816684623","doi-asserted-by":"crossref","unstructured":"McCurry S. M., Logsdon R. G., Mead J., Pike K. C., La Fazia D. M., Stevens L., Teri L. (2015). Adopting evidence-based caregiver training programs in the real world: Outcomes and lessons learned from the STAR-C Oregon translation study. Journal of Applied Gerontology, 1-18. Retrieved from: http:\/\/jag.sagepub.com\/content\/early\/2015\/04\/10\/0733464815581483.full. doi:10.1177\/0733464815581483","DOI":"10.1177\/0733464815581483"},{"key":"bibr14-0733464816684623","doi-asserted-by":"publisher","DOI":"10.1177\/0733464815591212"},{"key":"bibr15-0733464816684623","doi-asserted-by":"publisher","DOI":"10.1177\/109821400302400303"},{"key":"bibr16-0733464816684623","unstructured":"National Council on Aging. (2006). About evidence-based programs. Retrieved from https:\/\/www.ncoa.org\/center-for-healthy-aging\/basics-of-evidence-based-programs\/about-evidence-based-programs\/"},{"key":"bibr17-0733464816684623","unstructured":"National Registry of Evidence-based Programs and Practices. (2012). A road map to implementing evidence-based programs. Retrieved from http:\/\/www.samhsa.gov\/nrepp"},{"key":"bibr18-0733464816684623","unstructured":"O\u2019Connor C., Small S. A., Cooney S. M. (2007). Program fidelity and adaptation: Meeting local needs without compromising program effectiveness. University of Wisconsin\u2013Extension. Retrieved from http:\/\/fyi.uwex.edu\/whatworkswisconsin\/files\/2014\/04\/whatworks_04.pdf"},{"key":"bibr19-0733464816684623","doi-asserted-by":"publisher","DOI":"10.1093\/clipsy.bpi045"},{"key":"bibr20-0733464816684623","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.75.6.829"},{"key":"bibr21-0733464816684623","doi-asserted-by":"publisher","DOI":"10.1080\/01634372.2013.859201"},{"key":"bibr22-0733464816684623","unstructured":"Smith S. A., Bell P. A. (2005). Examining the effectiveness of the Savvy Caregiver Program among rural Colorado residents. Rural and Remote Health, 5, Article 466. 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