Adapting interventions to new contexts-the ADAPT guidance

Graham Moore, Mhairi Campbell, Lauren Copeland, Peter Craig, Ani Movsisyan, Pat Hoddinott, Hannah Littlecott, Alicia O'Cathain, Lisa Pfadenhauer, Eva Rehfuess, Jeremy Segrott, Penelope Hawe, Frank Kee, Danielle Couturiaux, Britt Hallingberg, Rhiannon Evans, Graham Moore, Mhairi Campbell, Lauren Copeland, Peter Craig, Ani Movsisyan, Pat Hoddinott, Hannah Littlecott, Alicia O'Cathain, Lisa Pfadenhauer, Eva Rehfuess, Jeremy Segrott, Penelope Hawe, Frank Kee, Danielle Couturiaux, Britt Hallingberg, Rhiannon Evans

Abstract

Implementing interventions with a previous evidence base in new contexts might be more efficient than developing new interventions for each context. Although some interventions transfer well, effectiveness and implementation often depend on the context. Achieving a good fit between intervention and context then requires careful and systematic adaptation. This paper presents new evidence and consensus informed guidance for adapting and transferring interventions to new contexts.

Conflict of interest statement

Competing interests: All authors have completed the ICMJE uniform disclosure form at www.icmje.org/coi_disclosure.pdf and declare: support from the organisations described above for the submitted work; no financial relationships with any organisations that might have an interest in the submitted work in the previous three years; no other relationships or activities that could appear to have influenced the submitted work.

Figures

Fig 1
Fig 1
ADAPT process model for adapting interventions to new contexts. Purple boxes=stages of ADAPT step-by-step guidance (box 3 provides more details). Grey boxes=potential outcomes from each stage. Directional arrows=recommendations for moving, forward, or backwards through stages (or exiting)

References

    1. Escoffery C, Lebow-Skelley E, Udelson H, et al. . A scoping study of frameworks for adapting public health evidence-based interventions. Transl Behav Med 2019;9:1-10. 10.1093/tbm/ibx067
    1. Kirk MA, Moore JE, Wiltsey Stirman S, Birken SA. Towards a comprehensive model for understanding adaptations’ impact: the model for adaptation design and impact (MADI). Implement Sci 2020;15:56. 10.1186/s13012-020-01021-y.
    1. Miller CJ, Wiltsey-Stirman S, Baumann AA. Iterative Decision-making for Evaluation of Adaptations (IDEA): A decision tree for balancing adaptation, fidelity, and intervention impact. J Community Psychol 2020;48:1163-77. 10.1002/jcop.22279
    1. Wiltsey Stirman S, Baumann AA, Miller CJ. The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions. Implement Sci 2019;14:58. 10.1186/s13012-019-0898-y
    1. Craig P, Di Ruggiero E, Frolich KL, et al. . Taking account of context in population health intervention research: guidance for producers, users and funders of research. NIHR Journals Library, 2018, 10.3310/CIHR-NIHR-01.
    1. Davey C, Hargreaves J, Hassan S, et al. . Designing evaluations to provide evidence to inform action in new settings. CEDIL Inception Paper, 2018:2.
    1. Sundell K, Beelmann A, Hasson H, von Thiele Schwarz U. Novel programs, international adoptions, or contextual adaptations? Meta-analytical results from German and Swedish intervention research. J Clin Child Adolesc Psychol 2016;45:784-96. 10.1080/15374416.2015.1020540
    1. Divan G, Hamdani SU, Vajartkar V, et al. . Adapting an evidence-based intervention for autism spectrum disorder for scaling up in resource-constrained settings: the development of the PASS intervention in South Asia. Glob Health Action 2015;8:27278. 10.3402/gha.v8.27278
    1. Burrow-Sánchez JJ, Minami T, Hops H. Cultural accommodation of group substance abuse treatment for Latino adolescents: Results of an RCT. Cultur Divers Ethnic Minor Psychol 2015;21:571-83. 10.1037/cdp0000023
    1. O’Neill J, Tabish H, Welch V, et al. . Applying an equity lens to interventions: using PROGRESS ensures consideration of socially stratifying factors to illuminate inequities in health [published Online First: 2013/11/06]. J Clin Epidemiol 2014;67:56-64. 10.1016/j.jclinepi.2013.08.005.
    1. Leijten P, Melendez-Torres GJ, Knerr W, Gardner F. Transported versus homegrown parenting interventions for reducing disruptive child behavior: A multilevel meta-regression study. J Am Acad Child Adolesc Psychiatry 2016;55:610-7. 10.1016/j.jaac.2016.05.003
    1. Evans RE, Craig P, Hoddinott P, et al. . When and how do ‘effective’ interventions need to be adapted and/or re-evaluated in new contexts? The need for guidance. J Epidemiol Community Health 2019;73:481-2. 10.1136/jech-2018-210840
    1. Movsisyan A, Arnold L, Evans R, et al. . Adapting evidence-informed complex population health interventions for new contexts: a systematic review of guidance. Implement Sci 2019;14:105. 10.1186/s13012-019-0956-5
    1. Movsisyan A, Arnold L, Copeland L, et al. . Adapting evidence-informed population health interventions for new contexts: a scoping review of current practice. Health Res Policy Syst 2021;19:13. 10.1186/s12961-020-00668-9.
    1. Copeland L, Littlecott H, Couturiaux D, et al. . The what, why and when of adapting interventions for new contexts: A qualitative study of researchers, funders, journal editors and practitioners’ understandings. PLoS One 2021;16:e0254020. 10.1371/journal.pone.0254020.
    1. Campbell M, Moore G, Evans RE, Khodyakov D, Craig P, ADAPT Study team . ADAPT study: adaptation of evidence-informed complex population health interventions for implementation and/or re-evaluation in new contexts: protocol for a Delphi consensus exercise to develop guidance. BMJ Open 2020;10:e038965. 10.1136/bmjopen-2020-038965
    1. Moore G, Campbell M, Copeland L. Adaptation of interventions for implementation and/or re-evaluation in new contexts: The ADAPT Study guidance (v1.0). .
    1. Munthe-Kaas H, Nøkleby H, Lewin S, Glenton C. The TRANSFER Approach for assessing the transferability of systematic review findings. BMC Med Res Methodol 2020;20:11. 10.1186/s12874-019-0834-5
    1. Duggleby W, Peacock S, Ploeg J, Swindle J, Kaewwilai L, Lee H. Qualitative Research and Its Importance in Adapting Interventions. Qual Health Res 2020;30:1605-13. 10.1177/1049732320920229
    1. Bonell C, Prost A, Melendez-Torres GJ, Davey C, Hargreaves JR. Will it work here? A realist approach to local decisions about implementing interventions evaluated as effective elsewhere. J Epidemiol Community Health 2021;75:46-50.
    1. O’Cathain A, Croot L, Duncan E, et al. . Guidance on how to develop complex interventions to improve health and healthcare. BMJ Open 2019;9:e029954. 10.1136/bmjopen-2019-029954
    1. Hawe P, Shiell A, Riley T. Complex interventions: how “out of control” can a randomised controlled trial be? BMJ 2004;328:1561-3. 10.1136/bmj.328.7455.1561
    1. Brand SL, Quinn C, Pearson M, et al. . Building programme theory to develop more adaptable and scalable complex interventions: realist formative process evaluation prior to full trial. Evaluation 2019;25:149-70 10.1177/1356389018802134.
    1. Hill J, Cuthel AM, Lin P, Grudzen CR. Primary Palliative Care for Emergency Medicine (PRIM-ER): Applying form and function to a theory-based complex intervention. Contemp Clin Trials Commun 2020;18:100570. 10.1016/j.conctc.2020.100570
    1. Mills T, Lawton R, Sheard L. Advancing complexity science in healthcare research: the logic of logic models. BMC Med Res Methodol 2019;19:55. 10.1186/s12874-019-0701-4
    1. Yoong SL, Bolsewicz K, Grady A, et al. . Adaptation of public health initiatives: expert views on current guidance and opportunities to advance their application and benefit. Health Educ Res 2020;35:243-57. 10.1093/her/cyaa014
    1. Hawkins J, Madden K, Fletcher A, et al. . Development of a framework for the co-production and prototyping of public health interventions. BMC Public Health 2017;17:689. 10.1186/s12889-017-4695-8.
    1. Oliver K, Kothari A, Mays N. The dark side of coproduction: do the costs outweigh the benefits for health research? Health Res Policy Syst 2019;17:33. 10.1186/s12961-019-0432-3
    1. Campbell M, Katikireddi SV, Hoffmann T, Armstrong R, Waters E, Craig P. TIDieR-PHP: a reporting guideline for population health and policy interventions. BMJ 2018;361:k1079. 10.1136/bmj.k1079.
    1. Petticrew M, Tugwell P, Kristjansson E, Oliver S, Ueffing E, Welch V. Damned if you do, damned if you don’t: subgroup analysis and equity. J Epidemiol Community Health 2012;66:95-8. 10.1136/jech.2010.121095.
    1. Howarth E, Devers K, Moore G, et al. . Contextual issues and qualitative research. Challenges, solutions and future directions in the evaluation of service innovations in health care and public health. NIHR Journals Library, 2016.
    1. Moore GF, Audrey S, Barker M, et al. . Process evaluation of complex interventions: Medical Research Council guidance. BMJ 2015;350:h1258. 10.1136/bmj.h1258
    1. Devlin AM, Wight D. Mechanisms and context in the San Patrignano drug recovery community, Italy: a qualitative study to inform transfer to Scotland. Drugs Educ Prev Policy 2020;85-96 10.1080/09687637.2020.1747397.
    1. Gorman DM. The decline effect in evaluations of the impact of the Strengthening Families Program for Youth 10-14 (SFP 10-14) on adolescent substance use. Child Youth Serv Rev 2017;81:29-39 10.1016/j.childyouth.2017.07.009.
    1. Beard E, Dienes Z, Muirhead C, West R. Using Bayes factors for testing hypotheses about intervention effectiveness in addictions research. Addiction 2016;111:2230-47. 10.1111/add.13501
    1. Pfadenhauer LM, Gerhardus A, Mozygemba K, et al. . Making sense of complexity in context and implementation: the Context and Implementation of Complex Interventions (CICI) framework. Implement Sci 2017;12:21. 10.1186/s13012-017-0552-5
    1. Löfholm CA, Brännström L, Olsson M, et al. . Treatment‐as‐usual in effectiveness studies: What is it and does it matter? Int J Soc Welf 2013;22:25-34 10.1111/j.1468-2397.2012.00870.x.
    1. Campbell R, Starkey F, Holliday J, et al. . An informal school-based peer-led intervention for smoking prevention in adolescence (ASSIST): a cluster randomised trial. Lancet 2008;371:1595-602. 10.1016/S0140-6736(08)60692-3
    1. Dobbie F, Purves R, McKell J, et al. . Implementation of a peer-led school based smoking prevention programme: a mixed methods process evaluation. BMC Public Health 2019;19:742. 10.1186/s12889-019-7112-7
    1. Sánchez-Franco S, Arias LF, Jaramillo J, et al. . Cultural adaptation of two school-based smoking prevention programs in Bogotá, Colombia. Transl Behav Med 2021;ibab019. 10.1093/tbm/ibab019.
    1. Gomide HP, Bernardino HS, Richter K, Martins LF, Ronzani TM. Development of an open-source web-based intervention for Brazilian smokers - Viva sem Tabaco. BMC Med Inform Decis Mak 2016;16:103. 10.1186/s12911-016-0339-7
    1. Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health 1999;89:1322-7. 10.2105/AJPH.89.9.1322
    1. Ammerman AS, Ward DS, Benjamin SE, et al. . An intervention to promote healthy weight: Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) theory and design. Prev Chronic Dis 2007;4:A67.
    1. Kipping R, Langford R, Brockman R, et al. . Child-care self-assessment to improve physical activity, oral health and nutrition for 2- to 4-year-olds: a feasibility cluster RCT. Public Health Research 2019;7:13. 10.3310/phr07130.
    1. Bonell C, Jamal F, Melendez-Torres GJ, Cummins S. ‘Dark logic’: theorising the harmful consequences of public health interventions. J Epidemiol Community Health 2015;69:95-8. 10.1136/jech-2014-204671
    1. Aarons GA, Sklar M, Mustanski B, Benbow N, Brown CH. “Scaling-out” evidence-based interventions to new populations or new health care delivery systems. Implement Sci 2017;12:111. 10.1186/s13012-017-0640-6
    1. Wyke S, Hunt K, Gray C, et al. . Football fans in training (FFIT): a randomised controlled trial of a gender-sensitised weight loss and healthy living programme for men. Public Health Res, 2015.
    1. Hunt K, Wyke S, Bunn C, Donnachie C, Reid N, Gray CM. Scale-up and scale-out of a gender-sensitized weight management and healthy living program delivered to overweight men via professional sports clubs: the wider implementation of Football Fans in Training (FFIT). Int J Environ Res Public Health 2020;17:584. 10.3390/ijerph17020584
    1. Fenwick E, Steuten L, Knies S, et al. . Value of information analysis for research decisions—an introduction: report 1 of the ISPOR Value of Information Analysis Emerging Good Practices Task Force. Value Health 2020;23:139-50. 10.1016/j.jval.2020.01.001
    1. Eldridge SM, Lancaster GA, Campbell MJ, et al. . Defining feasibility and pilot studies in preparation for randomised controlled trials: development of a conceptual framework. PLoS One 2016;11:e0150205. 10.1371/journal.pone.0150205
    1. Morgan PJ, Collins CE, Plotnikoff RC, et al. . The ‘Healthy Dads, Healthy Kids’ community randomized controlled trial: a community-based healthy lifestyle program for fathers and their children. Prev Med 2014;61:90-9. 10.1016/j.ypmed.2013.12.019
    1. Griffin T, Sun Y, Sidhu M, et al. . Healthy Dads, Healthy Kids UK, a weight management programme for fathers: feasibility RCT. BMJ Open 2019;9:e033534. 10.1136/bmjopen-2019-033534
    1. Moore GF, Evans RE, Hawkins J, et al. . From complex social interventions to interventions in complex social systems: Future directions and unresolved questions for intervention development and evaluation. Evaluation (Lond) 2019;25:23-45. 10.1177/1356389018803219
    1. Marsiglia FF, Booth JM. Cultural adaptation of interventions in real practice settings. Res Soc Work Pract 2015;25:423-32. 10.1177/1049731514535989
    1. Kemp L. Health programme decision making and implementation science. Community Public Health in Policy and Practice E-Book: A Sourcebook 2020:199.
    1. Betts AC, Froehlich-Grobe K, Driver S, Carlton D, Kramer MK. Reducing barriers to healthy weight: Planned and responsive adaptations to a lifestyle intervention to serve people with impaired mobility. Disabil Health J 2018;11:315-23. 10.1016/j.dhjo.2017.10.008.
    1. Morgan K, Rahman M, Moore G. Patterning in Patient Referral to and Uptake of a National Exercise Referral Scheme (NERS) in Wales From 2008 to 2017: A Data Linkage Study. Int J Environ Res Public Health 2020;17:3942. 10.3390/ijerph17113942
    1. Duncan E, O’Cathain A, Rousseau N, et al. . Guidance for reporting intervention development studies in health research (GUIDED): an evidence-based consensus study. BMJ Open 2020;10:e033516. 10.1136/bmjopen-2019-033516.

Source: PubMed

Спонсоры и соавторы

Заболевания

Медикаментозные вмешательства

Подписаться