Implementation science has developed alongside of EBP registries, as researchers have explored the challenges of implementing evidence-based practices with fidelity. A major theme that has emerged is that implementing programs in the field is complex, especially when programs and practices are implemented in culturally diverse communities. In some situations programs can be implemented with fidelity, but most often, implementers must adapt programs, and would ideally assess the effects of those adaptations.
PBE can provide rapid and valuable feedback when it is not feasible to conduct more rigorous evaluations. In this regard, PBE is part of the on-going efforts of practitioners and communities to implement programs in ways that best serve their populations, while also documenting fidelity, and changes, to programs. PBE is designed to increase understanding of how practices work in real-world settings, and can be especially useful in underserved communities.
It is critical to be systematic and thoughtful about the selection and implementation of programs. Communities implementing culture-centered programs based on emerging evidence will benefit from processes that rigorously document their decisions regarding the programs. We encourage anyone interested in working with emerging evidence to also explore the Implementation Corner of the Learning Center, which provides substantial resources on the pragmatics and the science of implementing practices in real-world settings.