Adaptable protocols and procedures
Adaption or reformulation
By whom was the decision to modify made?
Consider need for appropriate, reasoned variation
Design Intervention Prototype – (4A) design intervention to incorporate scientific evidence and locally developed programs
|Design Intervention Prototype – (4B) design intervention for fit to community setting and population
Design Intervention Prototype – Integrate 4A and B to develop intervention components; vet prototype for relevance and potential for success.
Determine predictors of adherence/non-adherence
Engagement and Adaptation
Evolution of intervention
Levels at which content modifications occur
Maintenance and Evolution
|Modifications to training and evaluation processes
Phase 0: identification of potential areas of low-value healthcare