HSR&D Citation Abstract
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Fenwick K. Exploring Variation in Housing First Implementation: The Role of Fit. HUMAN SERVICE ORGANIZATIONS: MANAGEMENT, LEADERSHIP & GOVERNANCE. 2019 Oct 21; 43(5):392-406.
Abstract: This exploratory study examines how three types of fit (technical, cultural, and
political) between an evidence-based practice and adopting organization
explain fidelity in terms of quantity and quality of core components implemented.
Using data from 20 supportive housing programs, fidelity was calculated
using a quantitative scale and fit was coded using qualitative program director
interviews. Relationships between fidelity and fit were tested with Fisher's exact
tests. Cultural fit predicted both high quality and quantity fidelity, and technical
fit predicted high-quality fidelity. Interviews provided qualitative examples of
how fit influenced implementation. Study results provide preliminary support
for the relationship between practice-organization fit and fidelity.