skip to page content
Talk to the Veterans Crisis Line now
U.S. flag
An official website of the United States government

Health Services Research & Development

Go to the ORD website
Go to the QUERI website

HSR&D Citation Abstract

Search | Search by Center | Search by Source | Keywords in Title

Exploring Variation in Housing First Implementation: The Role of Fit

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.

Dimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects.

If you have VA-Intranet access, click here for more information

VA staff not currently on the VA network can access Dimensions by registering for an account using their VA email address.
   Search Dimensions for VA for this citation
* Don't have VA-internal network access or a VA email address? Try searching the free-to-the-public version of Dimensions


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.

Questions about the HSR&D website? Email the Web Team

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.