Table 3.

Summary of the modifications made for the exercise intervention program using the FRAME

	Process
When did the modifications occur?	What is modified?	At what level of delivery? (from whom the modifications made)	What is the nature of the content modification?
-During piloting	Contextual delivery • Methods of communication • Usage of external aids • Supervision ratio	Targeted intervention group – participating residents with mild to moderate dementia	• Tailoring to individual resident • Adjusting staff ratio for safety • Ensuring quiet environment • Training in small groups • Using verbal cues with simple, short and concise instructions
Were adaptations planned? -Planned/reactive – reactive adaptation during intervention delivery
Who participated in the decisions to modify? -Diversional therapist (aged care staff) -Exercise instructor -Lead researcher		Contextual modifications made to which of the following? -Personal
			Relationship fidelity/core elements Fidelity consistent/core elements were preserved
Reason
What was the goal of modifications? To improve the participation and experience of people living with dementia in use of the Seniors Exercise Park physical activity program		What influenced the decision? The recipient: -Cognitive ability of residents to retain information -Encourage motivation for participation