Table 2.

A Priori Codes and Definitions

Code	Definition
Adaptive Challenge	The disparity between the capabilities of familiar methods, habits or values and the demands of the present clinical circumstances. Adaptive challenges require the patient (or family member) to adjust to a new situation and to do the work of adapting, learning, and behavior change.
Adaptive Work	The specific adaptive changes (e.g, values/attitudes, skills, learning and behaviors) that providers, patients, or caregivers need to make to achieve the clinical, lifestyle, or system outcomes they desire.
Adaptive Leadership	Adaptive leadership aims to develop the capacity of the patient, family, and/or provider to address adaptive challenges. New capacities emerge when patients/families and providers gain new values/attitudes, skills, learning and behaviors which enable them to achieve the clinical, lifestyle, or system outcomes they desire. Adaptive leadership included anticipating adaptive challenges, differentiating between technical and adaptive challenges and work and collaborative work.
Collaborative Work:	The process of engaging providers, patients and families in developing shared understanding of symptoms, actors’ responses to the symptoms, associated challenges and sense-making for shared meaning. These are the basis for jointly developing care plans to address technical and adaptive challenges (might be owned by patient, family members, provider). The care plan is translated into technical and/or adaptive work for patients, families and providers.