The FRAME
An expanded framework for reporting adaptations and modifications to evidence-based interventions
Bibliographic Data
| ID | 23357913 |
|---|---|
| Authors | Shannon Wiltsey Stirman (0000-0001-9917-5078, National Center for PTSD, corresponding author), Ana A Baumann (0000-0002-4523-0147, Washington University in St. Louis), Christopher J Miller (0000-0002-0632-1484, Harvard University) |
| Year | 2019 |
| Volume | 14 |
| Issue | 1 |
| Pages | 58-58 |
| Publication date | 2019-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Implementation Science (JOURNAL) |
| Journal identifiers | ISSN: 1748-5908 • E-ISSN: 1748-5908 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1186/s13012-019-0898-y |
| PMID | 31171014 |
| OpenAlex | W2948736612 |
| Language | EN |
| Citations received | 152 |
| References cited | 54 |
BACKGROUND: This 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. DISCUSSION: We 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. CONCLUSION: The 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.
Environmental health · Health administration · Health services research · Psychological intervention · Public health · Clinical practice guidelines implementation · Health Informatics · Health Policy Implementation Science · Health Sciences Research and Education · Medicine · Nursing
Conceptualizing outcomes for use with the Consolidated Framework for Implementation Research (CFIR)
Remote Peers® for preschoolers
Dissemination and Implementation Science Approaches for Occupational Safety and Health Research
Leveraging an Implementation Science Framework to Measure the Impact of Efforts to Scale Out a Total Worker Health® Intervention to Employers
Process Evaluations for the Scale-Up of Complex Interventions – a Scoping Review
Country-Specific Roadmaps for Scaling Up Integrated Care in Belgium, Slovenia, and Cambodia – Lessons Learned from the SCUBY Project
Scale-out of a Total Worker Health® approach for designing interventions to reduce teacher stress
An embedded multiple case study
Changing landscape of nutrition and dietetics research? A bibliographic analysis of top-tier published research in 1998 and 2018
Post‐project sustainability evaluation by using a complex systems approach
Using an evaluative lens to characterize the implementation outcomes of an NDBI within an early intervention system
Improving teamwork in multidisciplinary cross-sector teams
Scaling up Attachment and Biobehavioral Catch‐up with Latine families
Iterative Decision‐making for Evaluation of Adaptations (Idea)
Enhanced Academic Support for children in child welfare services
Couple relationship education content
The process of culturally adapting the Healthy Beginnings early obesity prevention program for Arabic and Chinese mothers in Australia
The updated Consolidated Framework for Implementation Research based on user feedback
Adapting interventions to new contexts—the Adapt guidance
Reframing implementation science to address inequities in healthcare delivery
What Matters in Sustaining Peer Support for Adults in Mental Health Services? Exploring the Perceptions of Diverse Actors
Context matters—the phased development of an adaptable food literacy intervention
Implementing a school-based mental health literacy programme for adolescents
Introducing a Computerized Care‐Pathways System for Older Adults in Home‐Care Settings
Theater testing a sexual and reproductive health program for Latina teens and their female caregivers
The Confident study protocol
Strengthening implementation science research to improve adolescent and young adult HIV-prevention and care in Sub-Saharan Africa
The ParentingWell Practice Approach
System Models for Synchronous Strategies in Operational Healthcare Forecasting
Assessment of the Massachusetts Flexible Services Program to Address Food and Housing Insecurity in a Medicaid Accountable Care Organization
Clinician-Reported Person-Centered Culturally Responsive Practices for Youth with OCD and Anxiety
Sustainability Planning for a Community Network to Increase Participation in Evidence-Based Lifestyle Change Programs
Lay Counselor Delivery of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
Scale-Up and Scale-Out of a Gender-Sensitized Weight Management and Healthy Living Program Delivered to Overweight Men via Professional Sports Clubs
Examining a multicomponent health promotion intervention among Black same gender loving men in southern ending the HIV epidemic in the U.S. jurisdictions
A Community Collaborative for the Exploration of Local Factors Affecting Black Mothers’ Experiences with Perinatal Care
Prevention of Cardiovascular Diseases in Community Settings and Primary Health Care
Urban Violence, Migration and Alcohol, Tobacco, and Marijuana Use among Transnational Students in Northern Mexico
Developing and feasibility testing of Hamdard Force
Comparing enhancements to well-child visits in the prevention of obesity
Task Sharing and Remote Delivery of Brief Interpersonal Counseling for Venezuelan Migrants and Refugees Living in Peru during the Covid-19 Pandemic
Cultural Adaptation of the Mothers and Babies Intervention for Use in Tribal Communities
Protocol for a caregiver psychosocial support intervention for populations affected by displacement in Uganda
A community edutainment intervention for gender-based violence, sexual and reproductive health, and maternal and child health in rural Senegal
Acceptability, reach and implementation of a training to enhance teachers’ skills in physical activity promotion
Reaching Priority Populations When Scaling Up
Trusted residents and housing assistance to decrease violence exposure in New Haven (TRUE Haven)
A waitlist randomised control trial of the unified protocol for the treatment of emotional disorders in children and adolescents with chronic medical conditions (The UP-CAM Study)
Preventing Perinatal Depression
Rapidly adapting an effective health promoting intervention for older adults—choose to move—for virtual delivery during the Covid-19 pandemic
A RE-AIM evaluation of Healthy Together
A Different Ball Game’
A RE-AIM evaluation in early adopters to iteratively improve the online BeUpstandingTM program supporting workers to sit less and move more
Using an implementation science approach to implement and evaluate patient-reported outcome measures (PROM) initiatives in routine care settings
ParentingWell
Development and Application of the Scale-Up Reflection Guide (SRG)
Co-Designing a National Family Handbook for Childhood Brain Tumor
Mixed-Methods Evaluation of Caregiver-Assisted Virtual Math Instruction During the Covid-19 Pandemic
Cultural and Methodological Adaptations in Eye Movement Desensitisation and Reprocessing Therapy Across Diverse Cultural Contexts
Dementia care quality at home
Community and Participatory Evidence and Research Synthesis
Exploring implementation experiences following WHO mhGAP training in primary health care in Lagos, Nigeria
Beyond Translation
Cultural adaptations and cultural factors in EBI implementation with Latinx communities
Modifying implementation strategies for integration of screening and management of mental disorders, including substance use disorders into other NCD care in Faridabad, Haryana as part of ICMR-MINDS project
Comparing, Contrasting, and Integrating Dissemination and Implementation Outcomes Included in the RE-AIM and Implementation Outcomes Frameworks
Stakeholders’ perception of factors influencing adoption of a pediatric weight management intervention
Program adaptation by health departments
Implementing a social innovation for community-based peer support for immigrant mothers in Sweden
Assessment of modifications to evidence-based psychotherapies using administrative and chart note data from the US department of veterans affairs health care system
Developing a dissemination and implementation research agenda for aging and public health
Born too soon in a resource-limited setting
Planned adaptation and implementation of the Community Guide recommendations for increasing physical activity in rural community settings
Making Implementation Science More Rapid
Partnering with community-based organizations to improve equitable access to depression care for underserved older adults in the U.S
Implementation mapping to plan for a hybrid trial testing the effectiveness and implementation of a behavioral intervention for HIV medication adherence and care retention
Suicide prevention during disasters and public health emergencies
A call to create evidence-based mental health promotion interventions for youth that are equitable across ethnic/racial subgroups
Getting to implementation
Advancing rapid adaptation for urgent public health crises
“We are the sun for our community
The Importance of Mental Models in Implementation Science
An Extension of RE-AIM to Enhance Sustainability
Diabetes Prevention and Care Capacity at Urban Indian Health Organizations
Patience is a virtue
Adapting a sexual and reproductive health program for Latina teens and their female caregivers
Youth vaping prevention with urban Indigenous communities of the southwest U.S
A youth-centred approach to improving engagement in HIV services
East Harlem’s Asthma Counselor Program During Covid
Employment as HIV Prevention
Feasibility and acceptability of a parent‐toddler programme to support the development of executive functions in children at elevated likelihood of autism or ADHD
Roadmap for implementing a multi-tiered system of supports framework to improve school attendance
How Dissemination and Implementation Science Can Contribute to the Advancement of Learning Health Systems
Transfer and adaptation of a drug recovery model from San Patrignano, Italy to River Garden, Scotland
Integrating Interpersonal Aggression Content into Substance Use Prevention Programming
Sustaining health obesity prevention programs
Monitoring unplanned sexual health curricula adaptations
Advancing methods for program evaluation in substance use by strengthening the application of epidemiology, economic evaluation, and implementation science
Modifications in Primary Care Clinics to Continue Colorectal Cancer Screening Promotion During the Covid-19 Pandemic
Stakeholder perspectives of adaptations of a burnout intervention for special education teachers
The sustainability of new programs and innovations
Ecological validity and cultural sensitivity for outcome research
Sustainability science
Implementation strategies
The Cultural Adaptation of Prevention Interventions
Development of a framework and coding system for modifications and adaptations of evidence-based interventions
The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care
“Scaling-out” evidence-based interventions to new populations or new health care delivery systems
The dynamic sustainability framework
A Heuristic Framework for the Cultural Adaptation of Interventions.
Implementing evidence-based interventions in health care
The Social Determinants of Health
Fostering implementation of health services research findings into practice
Cultural adaptations
Cultural adaptation and implementation of evidence-based parent-training
Examining Adaptations of Evidence-Based Programs in Natural Contexts
Adaptations in a Community-Based Family Intervention
Classifying Changes to Preventive Interventions
Adaptation happens
Assessing and Changing Organizational Culture and Climate for Effective Services
The Adaptome
Cultural Adaptation of an Evidence Based Intervention
Using Planned Adaptation to Implement Evidence‐Based Programs with New Populations
| Unique citing works | 152 |
|---|---|
| Citations per year | 25,33 |
| Citation span | 2020 - 2026 (7) |
| Citation velocity | current |
| Highly cited | Yes |
| Citation types | Neutral: 136 |