ArticleJournal of epidemiology and community health2021
How can we adapt complex population health interventions for new contexts? Progressing debates and research priorities.
Article in Journal of epidemiology and community health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
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- Reciprocal innovation to improve access to primary healthcare in Belgium: adaptation and development of a community health worker intervention.BMC health services research · 2026Article
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- Preventing Youth Crime and Violence: Intervention and Evaluation Issues.Behavioral sciences (Basel, Switzerland) · 2026Review
- How can complex interventions be adapted to context? A qualitative analysis of the implementation of DREAMS in three Kenyan settings.PLOS global public health · 2026Article
- Determinants of implementing the 15-method in Danish general practice using the consolidated framework for implementation science.Addiction science & clinical practice · 2025Article
- Contextual Adaptation of a Complex Intervention for the Management of Cancer Pain in Oncology Outpatient Services: A Case Study Example of Applying the ADAPT Guidelines.Psycho-oncology · 2025Article
- Are 'hybrid' interventions inherently self-sabotaging?BMJ quality & safety · 2025Article
- A systemic approach to identifying sustainable community-based interventions for improving adolescent mental health: a participatory group model building and design protocol.Health research policy and systems · 2025Article
- Public engagement, evidence review and survey to adapt a whole-school intervention to prevent bullying in English primary schools.NIHR open research · 2025Article
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- [Factors influencing the implementation of integrated community-based interventions for children in new residential development areas using the example of the Munich district Freiham-a qualitative study].Pravention und Gesundheitsforderung · 2022Article
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- The economics of adaptations to evidence-based practices.Implementation science communications · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
Abstract
introductionThe UK Medical Research Council and National Institute for Health Research have funded the ADAPT study (2018-2020), to develop methodological guidance for the adaptation of complex population health interventions for new contexts. While there have been advances in frameworks, there are key theoretical and methodological debates to progress. The ADAPT study convened a panel meeting to identify and enrich these debates. This paper presents the panel's discussions and suggests directions for future research.
methodsSixteen researchers and one policymaker convened for a 1-day meeting in July 2019. The aim was to reflect on emerging study findings (systematic review of adaptation guidance; scoping review of case examples; and qualitative interviews with funders, journal editors, researchers and policymakers), progress theoretical and methodological debates, and consider where innovation may be required to address research gaps. DISCUSSION: Despite the proliferation of adaptation frameworks, questions remain over the definition of basic concepts (eg, adaptation). The rationale for adaptation, which often focuses on differences between contexts, may lead to adaptation hyperactivity. Equal emphasis should be placed on similarities. Decision-making about intervention modification currently privileges the concept of 'core components', and work is needed to progress the use and operationalisation of 'functional fidelity'. Language and methods must advance to ensure meaningful engagement with diverse stakeholders in adaptation processes. Further guidance is required to assess the extent of re-evaluation required in the new context. A better understanding of different theoretical perspectives, notably complex systems thinking, implementation science and realist evaluation may help in enhancing research on adaptation.
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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.