ArticleFrontiers in public health2018
Systematic, Multimethod Assessment of Adaptations Across Four Diverse Health Systems Interventions.
Article in Frontiers in public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 102 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Family Inclusive Childhood Obesity Treatment Designed for Low Income and Hispanic Families
Adaptation and Implementation of an Evidence-Based Patient Navigation Intervention for Adolescent and Young Adult Cancer Survivors
Who cites it
102 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Systematic Review of Implementation Research on Determinants and Strategies of Effective HIV Interventions for Men Who Have Sex with Men in the United States.Annual review of psychology · 2024Pooled it
- A Systematic Review of Mental Health Interventions for ASD: Characterizing Interventions, Intervention Adaptations, and Implementation Outcomes.Administration and policy in mental health · 2021Pooled it
- Comparing different forms of structured follow-up support in the treatment of multiple health risks for chronic disease: a randomized controlled trial protocol.Implementation science : IS · 2026Trial
- A cross-sectional study assessing modifications to the delivery of a multi-component implementation strategy (the Get Outside, Get Active program) to improve child physical activity in early childhood education and care services.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Trial
- Tracking modifications to implementation strategies: a case study from SNaP - a hybrid type III randomized controlled trial to scale up integrated systems navigation and psychosocial counseling for PWID with HIV in Vietnam.BMC medical research methodology · 2024Trial
- Using FRAME to characterize provider-identified adaptations to a stepped care intervention for adolescents and youth living with HIV in Kenya: a mixed methods approach.Journal of the International AIDS Society · 2024Trial
- Trial
- Real-world effectiveness of the Bright Bodies healthy lifestyle intervention for childhood obesity.Obesity (Silver Spring, Md.) · 2023Trial
- Implementation of pharmacists' services into the care trajectory of older adults with neurocognitive disorder in multidisciplinary primary care clinics: A mixed-methods study.Exploratory research in clinical and social pharmacy · 2026Article
- A multilevel adaptation approach for the sustainable scale-up of family cancer history screening in rural public health clinics.Archives of public health = Archives belges de sante publique · 2026Article
- Roll-Out Implementation Optimization (ROIO) trial to develop and test the implementation of a food security screening and referral process: a study protocol.Implementation science communications · 2026Article
- Scoping Review of Interventions to Prevent CKD of Unknown Origin in Working Populations.Kidney international reports · 2026Article
- Enhancing capacity in faith-based organizations to implement and sustain multilevel innovations to improve physical activity: study protocol for the faith in action type II hybrid implementation-effectiveness trial.BMC public health · 2026Article
- Using multi-method approaches to document and assess adaptations in a community-driven COVID-19 testing program.Implementation science communications · 2026Article
- Multi-method, longitudinal documentation of adaptations and their impact in the Accelerating Colorectal Cancer Screening and Follow-up through Implementation Science San Diego colorectal cancer screening implementation study.Translational behavioral medicine · 2026Article
- Documenting two decades of longitudinal changes to a community-engaged obesity prevention intervention for Native American families to facilitate scale-up.Translational behavioral medicine · 2026Article
- Dissemination and Implementation Theories, Models, or Frameworks Utilized in International Aging Research: A Citation Analysis.Global implementation research and applications · 2026Review
- Article
- Usability and feasibility of the longitudinal implementation strategy tracking system: a think-aloud study with implementation researchers.Frontiers in health services · 2026Article
- Improving the Fit of Interventions for Autism in Schools: Lessons Learned Following Paraeducator Coaching on the RUBIES Program.Journal of educational and psychological consultation : the official journal of the Association for Educational and Psychological Consultants · 2025Article
42 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundMany health outcomes and implementation science studies have demonstrated the importance of tailoring evidence-based care interventions to local context to improve fit. By adapting to local culture, history, resources, characteristics, and priorities, interventions are more likely to lead to improved outcomes. However, it is unclear how best to adapt evidence-based programs and promising innovations. There are few guides or examples of how to best categorize or assess health-care adaptations, and even fewer that are brief and practical for use by non-researchers. MATERIALS AND
methodsThis study describes the importance and potential of assessing adaptations before, during, and after the implementation of health systems interventions. We present a promising multilevel and multimethod approach developed and being applied across four different health systems interventions. Finally, we discuss implications and opportunities for future research.
resultsThe four case studies are diverse in the conditions addressed, interventions, and implementation strategies. They include two nurse coordinator-based transition of care interventions, a data and training-driven multimodal pain management project, and a cardiovascular patient-reported outcomes project, all of which are using audit and feedback. We used the same modified adaptation framework to document changes made to the interventions and implementation strategies. To create the modified framework, we started with the adaptation and modification model developed by Stirman and colleagues and expanded it by adding concepts from the RE-AIM framework. Our assessments address the intuitive domains of
conclusionThe multimethod approaches demonstrate utility across diverse health systems interventions. The modified adaptations model adequately captures adaptations across the various projects and content areas. We recommend systematic documentation of adaptations in future clinical and public health research and have made our assessment materials publicly available.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.