The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions
By Shannon Wiltsey Stirman, A. Baumann, Christopher J. Miller. Implementation Science, 2019
1,018 citations recorded by the source corpus.
BackgroundThis paper describes the process and results of a refinement of a framework to characterize modifications to interventions. The original version did not fully capture several aspects of modification and adaptation that may be important to document and report. Additionally, the earlier framework did not include a way to differentiate cultural adaptation from adaptations made for other reasons. Reporting additional elements will allow for a more precise understanding of modifications, the process of modifying or adapting, and the relationship between different forms of modification and subsequent health and implementation outcomes.DiscussionWe employed a multifaceted approach to develop the updated FRAME involving coding documents identified through a literature review, rapid coding of qualitative interviews, and a refinement process informed by multiple stakeholders. The updated FRAME expands upon Stirman et al.’s original framework by adding components of modification to report: (1) when and how in the implementation process the modification was made, (2) whether the modification was planned/proactive (i.e., an adaptation) or unplanned/reactive, (3) who determined that the modification should be made, (4) what is modified, (5) at what level of delivery the modification is made, (6) type or nature of context or content-level modifications, (7) the extent to which the modification is fidelity-consistent, and (8) the reasons for the modification, including (a) the intent or goal of the modification (e.g., to reduce costs) and (b) contextual factors that influenced the decision. Methods of using the framework to assess modifications are outlined, along with their strengths and weaknesses, and considerations for research to validate these measurement strategies.ConclusionThe updated FRAME includes consideration of when and how modifications occurred, whether it was planned or unplanned, relationship to fidelity, and reasons and goals for modification. This tool that can be used to support research on the timing, nature, goals and reasons for, and impact of modifications to evidence-based interventions.
Subfields: General Health Professions, Public Health, Environmental and Occupational Health
View Paper: https://www.semanticscholar.org/paper/56ebee1f12bc4d774af4af45ec6d2283838708f6
How researchers see this paper
The researchers whose trusted networks rank it highest, strongest advocate first. Every researcher gets a different order.
In General Health Professions
In Public Health, Environmental and Occupational Health
Citations in the corpus
- The updated Consolidated Framework for Implementation Research based on user feedback (2022, background): “Published guidance highlights the importance of Adapting the innovation [76], and the updated CFIR notes the importance of adapting the setting as well [77].”