Table 2.
Classification of adaptations made (n = 10)
| Were adaptations planned? | N | % |
|---|---|---|
| Planned | 4 | 40 |
| Who was responsible for this change | ||
| Entire or most of the team | 2 | 20 |
| Provider | 1 | 10 |
| Administrator | 1 | 10 |
| Researcher | 3 | 30 |
| Developer | 1 | 10 |
| Stakeholder | 0 | 0 |
| Specific Work Group (Cross Functional and Evaluation and Implementation Science) | 2 | 20 |
| Other (Study Coordinator, Required by Regulatory Team) | 2 | 20 |
| What was the goal? | ||
| To increase the number or type of patients contacted (Reach) | 6 | 6 |
| To enhance the impact or success of the intervention for all or important subgroups (Effectiveness) | 1 | 1 |
| To make it possible to involve more teams, team members, or staff (Adoption) | 3 | 30 |
| To make the intervention delivered more consistently to better fit our practice, patient flow, or HER for practical reasons (Implementation) | 2 | 20 |
| To save money or other resources (Implementation) | 0 | 0 |
| To institute or sustain the intervention (Maintenance) | 2 | 20 |
| To respond to external pressure or policy | 2 | 20 |
| Other (To respond to needs of work group; To respond to IRB requirements) | 2 | 20 |
| At what LEVEL of delivery (for whom/what is the modification made?) | ||
| Individual patient level | 7 | 70 |
| Group | 1 | 1 |
| Individual practitioner level | 0 | 0 |
| Clinic/unit level | 2 | 20 |
| Hospital level | 0 | 0 |
| Network level | 0 | 0 |
| Systems level | 1 | 10 |
| Specific work group | 0 | 0 |
| Other (Implementation Teams) | 3 | 30 |
| What is the nature of change | ||
| Tailoring to individuals | 1 | 10 |
| Adding a component | 3 | 30 |
| Removing a component | 1 | 10 |
| Condensing a component | 2 | 20 |
| Extending a component | 0 | 0 |
| Substituting for a component | 0 | 0 |
| Changing the order of components | 0 | 0 |
| Integrating with other programs | 0 | 0 |
| Repeating a component | 0 | 0 |
| Loosening the structure or protocol | 1 | 10 |
| Otherwise changing the intervention | 0 | 0 |
| How or on what basis were these changes made? | ||
| Based on our vision or values | 2 | 20 |
| Based on a framework | 0 | 0 |
| Based on our knowledge or experience | 4 | 40 |
| Based on QI data, summary information or results | 3 | 30 |
| Based on pragmatic/practical considerations | 2 | 20 |
| Based on financial incentives | 0 | 0 |
| Based on feedback or suggestions | 4 | 40 |
| Others (To remain compliant (2); planned addition of staff) | 3 | 30 |
| Short-term impact | ||
| No major changes | 2 | 20 |
| Positive | 5 | 50 |
| Negative | 0 | 0 |
| Unknown | 3 | 30 |