Table 1.
Applying the ADAPT-ITT Framework to a Mindfulness Intervention for Youth Experiencing Homelessness
| Date | ADAPT-ITT phase | Phase objective | Methodology | Results |
|---|---|---|---|---|
| Fall 2015-Winter 2016 and Spring 2021 | I. Assessment | Understand the priorities and needs of YEH living in a shelter | Review pilot of original .b and conduct focus groups with 56 YEH | Original .b was found to be acceptable; modifications are needed to enhance cultural relevance and accommodate average length of stay at shelter |
| Fall 2015-Winter 2016 and Winter 2020-Spring 2021 | II. Decisions | Assess preexisting curricula (.b) and determine suitability for adaptation | Review previous pilot study results, and feedback from focus group | Determined that adaptations to .b would enhance relevance of content for YEH |
| Fall-Winter 2021 |
III. Administration/ Adaptation |
Administer proposed adaptations of .b to YEH | Beta-test with Youth Working group. Total participants = 10 | YWG confirmed acceptability of the vast majority of adaptations, and made suggestions for slight modifications |
| Fall-Winter 2021 | IV. Production | Produce adapted version of .b curriculum to test with YEH | Compile adaptations in preparation for integration into facilitator’s manual and PPT slides | Draft of .b4me facilitator’s manual and materials |
| Fall-Winter 2021 | V. Topical Experts | Review adaptations with experts in youth homelessness, mindfulness, and/or trauma-informed care | Convene EAP, conduct key informant interviews, and consult MiSP representatives to review adaptations | Identified themes related to barriers, facilitators, and other suggestions. |
| Spring 2022 | VI: Integration | Integrate feedback from experts with proposed adaptations and finalize adapted version of .b curriculum | Compile feedback from EAP, key informants, and finalize draft of manual and materials for final approval from MISP | Final version of the .b4me facilitator’s Manual and materials |
| Spring 2022 | VII: Training | Train facilitators to implement the adapted program with YEH | Provide an overview of adapted .b curriculum to facilitators trained in original .b program | 2 trained interventionists |
| Spring 2022—Fall 2022 | VIII: Testing | Test the adapted program with YEH | Conduct a pilot RCT (n = 60) with YEH | Results pending completion of RCT. |
NOTE: YEH = youth experiencing homelessness; YWG = youth working group; PPT = power point; EAP = expert advisory panel; MiSP = mindfulness in schools program; RCT = randomized controlled trial