Adapt
Adaptability
Adaptable protocols and procedures
Adaptations
Adaption or reformulation
Adaptor
By whom was the decision to modify made?
Consider need for appropriate, reasoned variation
Content modifications
Contextual modifications
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
Evolving
Evolution of intervention
Improved Pre-adoption
Improved Adoption
Levels at which content modifications occur
Maintenance and Evolution
| Modifications to training and evaluation processes
Ongoing change
Phase 0: identification of potential areas of low-value healthcare
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