Three Critical Elements for Real-Time Monitoring of Implementation and Adaptation of Prevention Programs.

We are at a place in history where the prevention science literature has established a cadre of evidence-based programs and practices (EBPPs) that have been proven, under controlled efficacy and effectiveness trials, to significantly improve the well-being of those served. Research in implementation science has also repeatedly demonstrated the importance of fidelity for realizing the benefits of these EBPPs when applied in real-world contexts. However, as a field, while we have ever-increasing evidence of 'what' systems and supports are needed to take EBPPs to scale, we continue to struggle with 'how' to successfully bring them to scale with quality in real-world service settings. The articles in this special issue of The Journal of Primary Prevention (JPP) further our understanding of the dimensions that need to be considered when scaling EBPPs and help inform what a scalable implementation support system would entail. The following commentary discusses implications for such a system and presents an example of using technology to support scaling up EBPPs while maintaining program fidelity and quality.