Table 6.

Adaptations to the implementation strategies according to the FRAME-IS^a

The EBP being implemented is:		Implementation of an Information and Advice Center to provide integrated care for (pre)frail community-dwelling older adults
The implementation strategy being modified is:	The modification(s) being made were:	The reason(s) for the modification(s) is/are:	What was modified?	What was the goal?	What was the level of the rationale for the modification?	When was the modification initiated?	Was the modification planned?	Who participates in the decision to modify?	How widespread is the modification?
Informational visits to promote the IAC with community care organizations in the preparation and Implementation phase	Temporality of the visits (only in the preparation or Implementation phase) to community care organizations.	Decision of the IAC management	Context (temporality of the visit, only one visit either pre or after opening).	Other: decision by the IAC management.	Organizational level (IAC management decided the temporality of the visits).	Preparation & Implementation phase	No	IAC management	Some hospitals, nursing homes, care organizations & senior organizations.
	Replacing some visits with phone calls.	• For safety reasons due to pandemic. • To address cultural norms.	Context (format, phone calls instead of in person visits).	• Increase reach of the EBP. • Increase the adoption of the EBP.	Practitioner level (IAC management).	Preparation phase	Yes	Researchers and IAC management	Community
	Involvement of a member of the research team in the visits.	Improve reach of community-dwelling older adults.	Context (personnel, a member of the research team participated in the visits too).	Increase reach of community-dwelling older adults.	Implementer level (research team).	Preparation phase	No	Researchers and IAC management	Some nursing homes & care organization.
Informational material development and distribution (letters & emails) sent to community care organizations and older adults	Temporality of the letters/e-mails sent (only in the preparation or Implementation phase).	Decision of the IAC management	Context (temporality of the letters/e-mails, only one e-mail or letter sent either pre or after opening).	Other: decision by the IAC management.	Organizational level (IAC management decided the temporality of the visits).	Preparation & Implementation phase	No	IAC management	Some hospitals, nursing homes, care organization, senior organizations & older adults.
	Replacing some letters with e-mails	To address cultural norms	Context (format, e-mails instead of letters).	• Increase reach of the EBP. • Increase the adoption of the EBP.	Practitioner level (IAC management)	Preparation phase	Yes	Researchers and IAC management	Community
Use mass media (radio announcements/interviews)	Not done	Decision of the IAC management	N/A	Other: decision by the IAC management.	N/A	N/A	N/A	IAC management	N/A

^aThe FRAME-IS: a framework for documenting modifications to implementation strategies in healthcare (34)