Table 1.

Applying the ADAPT-ITT model to guide the adaptation S2S and SISTA

Phase	What we did
Assessment Obtain a comprehensive understanding of the target population	Conducted meetings with community stakeholders
Decision Select interventions and decided whether to adopt or adapt	Decided on two existing evidence-based interventions that could be culturally adapted for use by African-born Black women: Sister-to-Sister (S2S) and Sisters Informing Sisters about Topics on AIDS (SISTA)
Adaptation Use a pretested methodology to better understand how to adapt	Conducted virtual stakeholder meetings where general overview of S2S and SISTA was presented Themes interviews and focus groups were used to guide adaptation Retained core elements of S2 & SISTA: Communication with partner, condom use demonstration, sexual assertion skills Adaptation would involve the materials used, and the various activities within modules of S2S and SISTA
Production Create an adaptation plan and determine goals	Designed 2 adapted versions: Dada-kwa-Dada (DKD; the adapted version of S2S) and DADA (the adapted version of SISTA) Included assessments, HIV education including HIV transmission, condom use, and PrEP, and HIV Video featuring African-born women
Topical Experts Provide substantive content and technical assistance	Adapted interventions were reviewed by stakeholders, and clinical experts
Integration Integrate all forms of information	All forms of information (intervention protocols, videos, assessments, educational powerpoints) were combined to ensure coherence and effectiveness
Training Train all relevant personnel	All personnel were trained
Testing Theatre test and Pilot test for adaptation efficacy	A convenience sample of 29 women (18 English-speaking, 11 French-speaking) participated in the pilot of the adapted interventions; 17 were randomized to DKD (12 in English, 5 in French) and 12 were randomized to DADA (with 1 group of xx women conducted in English, and 1 group of xx women conducted in French).