NCCMT
 
McMaster

The FRAME: An Expanded Framework for Reporting Adaptations and Modifications to Evidence-Based Interventions

Wiltsey Stirman, S., Baumann, A.A. & Miller, C.J. (2019). The FRAME: An expanded framework for reporting adaptations and modifications to evidence-based interventions. Implementation Science, 14(58). https://doi.org/10.1186/s13012-019-0898-y
Journal article

Description

This framework is a novel approach to teasing out the unique characteristics of modifications that have been made to an intervention. It examines the core components of modifications, including how and when they occurred. The expanded framework includes information about why the modification was made and whether it was a cultural adaptation, along with the context in which this modification was made.

Steps for Using Method/Tool

The framework guides users through the eight elements of a modification:

  1. When and how in the implementation process the modification was made
  2. Whether the medication was planned or unplanned
  3. Who determined that the modification should be made
  4. What was modified
  5. At what level in the delivery was the modification made
  6. The type or nature of the context or content-level modification
  7. The extent to which the modification is fidelity consistent
  8. The reason for the modification (cultural adaptation or some other reason)

These summaries are written by the NCCMT to condense and to provide an overview of the resources listed in the Registry of Methods and Tools and to give suggestions for their use in a public health context. For more information on individual methods and tools included in the review, please consult the authors/developers of the original resources.

We have provided the resources and links as a convenience and for informational purposes only; they do not constitute an endorsement or an approval by McMaster University of any of the products, services or opinions of the external organizations, nor have the external organizations endorsed their resources and links as provided by McMaster University. McMaster University bears no responsibility for the accuracy, legality or content of the external sites.

Method on pages 1-10

The FRAME
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Using research evidence to address how an option will be implemented

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