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The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions.

Shannon Wiltsey Stirman1, Ana A Baumann2, Christopher J Miller3,4

  • 1National Center for PTSD and Stanford University, 795 Willow Road NC-PTSD, Menlo Park, CA, 94025, USA. sws1@stanford.edu.

Implementation Science : IS
|June 8, 2019
PubMed
Summary
This summary is machine-generated.

This study refined a framework for characterizing intervention modifications, improving documentation of adaptations and their impact on health outcomes. The updated FRAME enhances understanding of planned versus unplanned changes and their reasons.

Keywords:
AdaptationCultural adaptationImplementation outcomesModification

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Area of Science:

  • Implementation Science
  • Health Services Research
  • Intervention Adaptation

Background:

  • Existing frameworks inadequately captured intervention modification nuances.
  • Distinguishing cultural adaptation from other modifications was not fully supported.
  • Improved documentation is crucial for understanding modification impact on outcomes.

Purpose of the Study:

  • To refine an existing framework for characterizing modifications to interventions.
  • To enhance the documentation and reporting of intervention adaptations.
  • To differentiate types of modifications and their influence on implementation and health outcomes.

Main Methods:

  • A multifaceted approach including literature review and qualitative interviews.
  • Stakeholder input was integral to the framework refinement process.
  • Developed the updated Framework for Reporting and Evaluating Adaptation and Modification (FRAME).

Main Results:

  • The updated FRAME expands reporting components to include timing, planning, decision-makers, scope, level, type, fidelity, and reasons for modification.
  • It differentiates planned adaptations from unplanned modifications.
  • It incorporates goals and contextual factors influencing modifications.

Conclusions:

  • The updated FRAME provides a comprehensive tool for analyzing intervention modifications.
  • It supports research on the timing, nature, goals, reasons, and impact of modifications.
  • This enhanced framework aids in understanding the relationship between modifications and outcomes.