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August 14, 2026Global Implementation Research and ApplicationsOpen Access

Managing Fidelity and Adaptation at Work: A Longitudinal Intervention Study of Professionals’ Psychosocial Working Conditions During Implementation of an Evidence-Based Intervention Under Different Forms of Implementation Support

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Authors

JZJohanna ZetterlundUSUlrica von Thiele SchwarzHHHenna Hasson

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Overview

Longitudinal repeated-measures study shows stable psychosocial working conditions among professionals using implementation tools, indicating structured support does not impair workplace well-being.

Key Points

  • To examine professionals’ perceptions of their psychosocial working conditions while delivering an evidence-based intervention under different implementation support strategies targeting fidelity and adaptation.
  • Conducted a longitudinal within-person repeated-measures study in Sweden with N=25 professionals across three conditions: practice as usual, structured reflection, and the Adaptation and Fidelity Tool (A-FiT).
  • Assessed self-reported psychosocial working conditions—including unreasonable tasks, role conflict, quantitative demands, knowledge, skills, openness, and self-efficacy—using Friedman’s ANOVA and Wilcoxon signed-rank tests.
  • Professionals reported generally favorable psychosocial working conditions, with no statistically significant changes over time across most measured domains.
  • Perceived skills showed a statistically significant decrease following structured reflection (p = 0.024), but this reduction was not sustained after participating in the A-FiT intervention.

Cite This Study

Zetterlund et al. (2026) studied this question.

synapsesocial.com/papers/6a7ec7bab70b84ec8b9145dbhttps://doi.org/10.1007/s43477-026-00246-1
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