Don't throw out the baby with the bath water: A novel way of evaluating outcomes in the Healthy families America programs

The current study examines the inherent challenges of the wide-scale implementation and replication of program models. Using the Healthy Family America (HFA) program model, the study reviews the adaptation/ adoption debate and highlights the ways in which program adoption and program adaptation could coexist to facilitate successful program implementations. Specifically, 103 HFA program sites were evaluated based on their adherence to HFA's flexible program model. Although the results are mixed, the study presents a new way of addressing existing program implementation and replication issues.