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Adding Adaptation/Modification Size and Scope to Frameworks for Classifying Changes to an Intervention.

Melvin M Mark1

  • 1Department of Psychology, The Pennsylvania State University, 140 Moore Building University Park, University Park, PA, 16802, USA. m5m@psu.edu.

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Summary
This summary is machine-generated.

Existing frameworks for intervention adaptation lack size and scope assessment. Including these factors is crucial for understanding implementation quality and intervention outcomes, enhancing research on intervention components.

Keywords:
AdaptationImplementationIntervention componentsModification

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Area of Science:

  • Health Services Research
  • Intervention Science
  • Implementation Science

Background:

  • Frameworks exist for classifying intervention adaptations and modifications.
  • These frameworks capture various attributes of changes made to interventions.
  • Current frameworks do not include the relative size and scope of adaptations.

Purpose of the Study:

  • To highlight the omission of size and scope in intervention adaptation frameworks.
  • To explain the negative consequences of this omission on research conclusions.
  • To propose the inclusion of size and scope assessment in future frameworks.

Main Methods:

  • Review of existing frameworks for classifying intervention adaptations.
  • Analysis of the potential impact of size and scope on implementation quality and outcomes.
  • Discussion of methods for coding adaptation size and scope (manualized vs. rater judgment).

Main Results:

  • The relative size and scope of adaptations are not currently incorporated into classification frameworks.
  • Omitting size and scope can negatively affect conclusions regarding implementation quality and intervention outcomes.
  • Coding adaptation size and scope can be achieved through detailed intervention descriptions or rater judgments.

Conclusions:

  • Assessing the size and scope of intervention adaptations is essential for accurate research.
  • Inclusion of size and scope will improve understanding of how modifications influence implementation and outcomes.
  • This assessment may stimulate further research into identifying intervention components and sub-elements.