Table 6.

Summary of HWPP Adaptations and Modifications for School 2 based on Implementation Outcome Data from School 1

Who Participated	Goal	Rating Scales (Process Evaluation & URP-IR)	Design Team Focus Group Data	Study 1 Related Fidelity Data	What is modified	At what level of delivery	Nature of modification	Relationship to fidelity / core elements
Researchers	Improve fit with recipients	Total time required to implement the process was lowest rated item on URP-IR Feasibility subscale.	∙ Too many meetings. ∙ It took too long to identify and implement intervention. ∙ It was demoralizing to reflect on TWH and Ideal Workplace when not able to be obtained. ∙ It took too long to identify and implement a stress-reduction intervention.	Exposure: Design Team increasingly members skipped meetings or left early. Adherence: Data were variable for some meetings in which content did not take the projected amount of time.	Decreased number of meetings-combined 8 meetings into 5 (see Table 1). Maintained only core components of IDEAs process.	Group	∙ Removing elements ∙ Substituting content ∙ Shortening / condensing some components	Fidelity consistent
Researchers, Administrator	Increase retention & satisfaction	Total time required to implement the process was lowest rated item on URP-IR Feasibility subscale.	∙ The duration of meetings was not sustainable.	Dosage / Exposure: Design Team members increasingly skipped meetings or left early.	Decreased duration of meetings from 2 h to 1 h.	Group	∙ Shortening / condensing pacing	Fidelity consistent