Table 4.

Evolution of ADAPTE method and materials

1	Modifications and additions to process and supports, e.g.,
	Heightened focus with more information/guidance on implementation and facilitation aspects
	Modification of task and sequence, e.g., addition of the pre-adaptation Call-to-Action step, placement of PIPOH1 forward in the process, an explicit implementation planning component, reduction in total number of steps
	Modification of existing tools to reflect Canadian content, e.g., Canadian guideline sources
	Addition of orientation, training, and methodological support, e.g.,
	- orientation workshop agenda with support materials including PowerPoint presentation slide decks, discussion guides (e.g., ‘What is a Guideline?’) and planning activities
	- new Library Science Supplement: a detailed, basic guide to designing and executing a search strategy, prepared by Queen’s team Library Scientists
	- expanded index and links to guideline development and evidence-informed practice resources
	- expanded information on tasks and techniques, e.g., consensus processes, evidence grading methods
2	Multiple, new project management and documentation tools and supports, e.g.,
	Skills and resources needs assessment checklist
	Terms of reference templates for steering committees and working panels
	Spreadsheets to manage search citations and screening decisions
	Facilitator’s guide to managing AGREE appraisals
	Template letters to invite/instruct AGREE raters, contact source developers
	Spreadsheets to manage consolidation of AGREE and other appraisal data
3	Enhanced navigation, access, and ease of use, e.g.,
	Provision of interactive, electronic tools and templates (e.g., reformatted PIPOH, Recommendations Matrix, data summary tables); revised indexing and links to tools and resources
	Addition of a Quick Reference Guide, Progress Checks, and decision cues
	Multiple Field Notes to describe real challenges/solutions experienced by the Canadian Guideline Adaptation Study cases
NOTE: the final version of CAN-IMPLEMENT substantively extends the methodology and user supports. Guideline adaptation is embedded in the Knowledge to Action cycle as part of a new three phase model:
- PHASE 1 Identification and Clarification of Practice Issue/Problem
- PHASE 2 Solution Building
- PHASE 3 Implementation, Evaluation and Sustainability

¹ PIPOH = P- population, I- intervention(s), P- professionals, O- outcome(s), H- healthcare setting.