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, Hasson du cadre théorique de la fidélité d'implantation, tenant compte de manière plus convaincante du contexte sociopolitique et de l'environnement dans lequel une intervention complexe est implantée
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, La fidélité, ou le degré avec lequel une intervention est mise en oeuvre comme prévu par ses concepteurs. Elle est particulièrement destinée à assurer que l'intervention maintienne ses effets prévus. L'adaptation, au contraire, est la modification du modèle d'origine d'une intervention par les acteurs et actrices de sa mise en oeuvre. Cinq dimensions ont été mises en avant pour mesurer la fidélité : l'adhérence, la dose, la qualité de la prestation, la réactivité des participant e s et la différentiation du programme. Cependant, peu de recherches ou de conseils pratiques portent sur la façon d'adapter une intervention, tout en maintenant les mécanismes essentiels à son efficacité, Ce chapitre porte sur l'évaluation de la fidélité dans la mise en oeuvre et l'adaptation des interventions de santé mondiales
, Malgré les nuances entre le terme anglais « r e a lis t » et le terme français « réaliste », nous utilisons dans ce chapitre le mot « réaliste » comme une traduction de « r e a lis t ». Nous nous appuyons sur l'utilisation déjà répandue dans le langage scientifique
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, En s'appuyant sur l'évaluation de la mise en oeuvre d'une politique de santé en Afrique de l'Ouest, ce chapitre illustre les différentes étapes du cycle de FER. À la première étape, les questions de recherche sont formulées. La valeur ajoutée de l'approche de FER est optimale sur des questions de type « Pourquoi? Comment? Pour qui? et dans quels contextes une intervention marche ou non? ». La seconde étape est la formulation de la théorie de programme initiale qui dépend de la nature de l'intervention, les objectifs d'évaluation, la nature des produits prioritaires attendus de l'évaluation, les ressources disponibles et la familiarité de l'évaluateur avec l'objet d'évaluation, L'évaluation réaliste (ER) explicite les mécanismes causaux des résultats d'une intervention dans différents contextes
, Évaluation des interventions de santé mondiale