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Related Concept Videos

Models of Health Promotion and Illness Prevention I01:25

Models of Health Promotion and Illness Prevention I

A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Models of Health Promotion and Illness Prevention II01:18

Models of Health Promotion and Illness Prevention II

The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results from...
Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Levels of Health Promotion and Illness Prevention01:26

Levels of Health Promotion and Illness Prevention

Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...

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Related Experiment Video

Updated: Jun 13, 2026

Visualizing Visual Adaptation
04:43

Visualizing Visual Adaptation

Published on: April 24, 2017

Adapting a Complex Health Intervention Guided by the Core Functions and Form Model: A Methodology and Case Example of

Kirsten Austad1, Nhi Nguyen2, Elizabeth Jadovich3

  • 1Boston Medical Center & Boston University Chobanian & Avedisian School of Medicine.

Research Square
|June 12, 2026
PubMed
Summary

Adapting evidence-based interventions for patients with non-English language preferences requires balancing core functions with flexible delivery forms. This study successfully integrated the Core Functions and Forms model into the ADAPT framework for tailored discharge care.

Keywords:
Complex interventionCore Functions and FormsHospital dischargeIntervention adaptationNon-English language preference

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Area of Science:

  • Health Services Research
  • Implementation Science
  • Patient-Centered Care

Background:

  • Adapting complex evidence-based interventions (EBIs) while maintaining fidelity is challenging.
  • The Core Functions and Forms (CFF) model aids adaptation by distinguishing essential mechanisms (core functions) from delivery strategies (forms).
  • This study applied the CFF model to adapt hospital discharge EBIs for patients with non-English language preferences (NELP).

Purpose of the Study:

  • To operationalize the CFF model within the ADAPT framework for adapting discharge EBIs.
  • To identify core functions critical for NELP discharge care.
  • To evaluate and select adaptable delivery forms balancing impact and feasibility for NELP patients.

Main Methods:

  • Utilized Steps 1 and 2 of the ADAPT framework integrated with CFF.
  • Convened an Adaptation Team including clinicians, interpreters, and patient representatives.
  • Collected quantitative data on core function importance and delivery form impact/feasibility via surveys and rapid content extraction.

Main Results:

  • "Understand and address patient priorities" and "assess and address linguistic and cultural needs" were top-ranked core functions.
  • Nurses, social workers, and community health workers offered a better balance of impact and feasibility than physicians for intervention delivery.
  • Remote delivery by language-concordant providers demonstrated high impact and feasibility for language concordance.

Conclusions:

  • Demonstrated successful integration of CFF and ADAPT for adapting EBIs.
  • Highlighted the value of separating specific and cross-cutting forms for implementation decisions.
  • Showcased the potential for adapting EBIs across related interventions to reuse shared mechanisms.