Adaptation and evolution
Number of Models:
The number of models that include elements aligned with the given construct.
26 
The number of models that include elements aligned with the given construct.
Elements:
Components abstracted from each model and aligned with the given construct.
Adapt
Components abstracted from each model and aligned with the given construct.
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
Evolution of intervention
evolving
Improved Adoption
Improved Pre-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
Definition:
The definition of the construct.
For the success of D&I, interventions often need to be adapted to fit the local context (i.e., needs and realities). Adaptation is defined as the degree to which an evidence-based intervention is changed or modified by a user during adoption and implementation to suit the needs of the setting or to improve the fit to local conditions. The need for adaptation and understanding of context has been called Type 3 evidence (i.e., the information needed to adapt and implement an evidence-based intervention in a particular setting or population). Ideally, adaptation will lead to at least equal intervention effects as is shown in the original efficacy or effectiveness trial. To reconcile the tension between fidelity and adaptation, the core components (or essential features) of an intervention (i.e., those responsible for its efficacy/effectiveness) must be identified and preserved during the adaptation process.
The definition of the construct.
Related Models
- Adaptation in dissemination and implementation science
- Adherence Optimization Framework
- CDC DHAP’s Research-to-Practice Framework
- Choosing Wisely Deimplementation Framework
- Community Based Participatory Research (CBPR)
- Conceptual Framework for Research Knowledge Transfer and Utilization
- Consolidated Framework for Implementation Research
- Dissemination and Implementation Framework for an Early Childhood Obesity Prevention Program
- Dynamic Sustainability Framework
- EQ-DI Framework
- Framework for Enhancing the Value of Research for Dissemination and Implementation
- General theory of implementation
- Health Promotion Technology Transfer Process
- Interacting Elements of Integrating Science, Policy, and Practice
- Intervention Mapping
- Knowledge Exchange Framework
- Marketing and Distribution System for Public Heatlh
- Model for Predictors of Adoption
- Pathways to Evidence Informed Policy
- Practical, Robust Implementation and Sustainability Model (PRISM)
- RE-AIM 2.0/Contextually Expanded RE-AIM
- Replicating Effective Programs Framework
- Stetler Model of Research Utilization
- Stirman framework and coding system for modifications and adaptations of evidence-based interventions
- Technology Transfer Model
- Transcreation Framework for Community-engaged Behavioral Interventions to Reduce Health Disparities
Measures:
External link to measures on the GEM site for the given construct.
GEM D&I link: Adaptation and Evolution
External link to measures on the GEM site for the given construct.