ArticleImplementation research and practice
Applying an Equity Lens to Characterizing the Process and Reasons for an Adaptation to an Evidenced-based Practice.
Article in Implementation research and practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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The trial behind it
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Who cites it
23 citing papers in PubMed, 30 citations in OpenAlex.
- Trial
- 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
- Policy actors' perspectives on improving federal grants to promote the implementation success of evidence-based behavioral health practices.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
- Characterizing the Relationship Between Intervention Delivery and Outcomes Within Part C Community Settings.Behavioral sciences (Basel, Switzerland) · 2025Article
- Adapting Public Health and Health Services Interventions in Diverse, Real-World Settings: Documentation and Iterative Guidance of Adaptations.Annual review of public health · 2025Review
- "So Many Other Things Improve" with Transdiagnostic Treatment for Sleep and Circadian Problems: Interviews with Community Providers on Treating Clients with Serious Mental Illness.Administration and policy in mental health · 2025Article
- A mixed-methods, theory-driven assessment of the sustainability of a multi-sectoral preventive intervention for South Asian Americans at risk for cardiovascular disease.Implementation science communications · 2024Article
- Enhancing Impact: A Call to Action for Equitable Implementation Science.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Implementing interventions to start HPV vaccination at age 9: Using the evidence we have.Human vaccines & immunotherapeutics · 2023Article
- RE-AIM implementation outcomes and service outcomes: what's the connection? results of a cross-sectional survey.BMC health services research · 2023Article
- Adapting Connect for Health pediatric weight management program for telehealth in response to the COVID-19 pandemic.Implementation science communications · 2023Article
- Speeding implementation in cancer: The National Cancer Institute's Implementation Science Centers in Cancer Control.Journal of the National Cancer Institute · 2023Article
- A call to create evidence-based mental health promotion interventions for youth that are equitable across ethnic/racial subgroups: Advocates 4-ALL Youth.Frontiers in public health · 2023Article
- Promoting Latinx health equity through community-engaged policy and practice reforms in North Carolina.Frontiers in public health · 2023Article
- "We are the sun for our community:" Partnering with community health workers/promotores to adapt, deliver and evaluate a home-based collaborative care model to improve equity in access to quality depression care for older U.S. Latino adults who are underserved.Frontiers in public health · 2023Article
- Leveraging Implementation Science for Cardiovascular Health Equity: A Scientific Statement From the American Heart Association.Circulation · 2022Review
- A Slippery Slope When Using an Evidence-Based Intervention Out of Context. How Professionals Perceive and Navigate the Fidelity-Adaptation Dilemma-A Qualitative Study.Frontiers in health services · 2022Article
- Use of the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework to guide iterative adaptations: Applications, lessons learned, and future directions.Frontiers in health services · 2022Article
- Application of an antiracism lens in the field of implementation science (IS): Recommendations for reframing implementation research with a focus on justice and racial equity.Implementation research and practiceArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundAdaptations to evidence-based practices (EBPs) are common but can impact implementation and patient outcomes. In our prior research, providers in routine care made a fidelity-inconsistent adaptation to an EBP that improved health outcomes in people with serious mental illness (SMI). The purpose of this study was to characterize the process and reasons for the adaptation using a framework for reporting adaptations and modifications to EBPs, with a focus on equity.
methodsThis study used qualitative data collected during a national implementation of the InSHAPE EBP addressing obesity in persons with SMI. We reviewed transcripts from five behavioral health organizations that made a successful fidelity-inconsistent adaptation to a core component of InSHAPE that was associated with cardiovascular risk reduction. We coded the data using the Framework for Reporting Adaptations and Modifications-Expanded (FRAME) with an emphasis on exploring whether the adaptation addressed inequities in using the EBP related to social determinants of health.
resultsAcross the five agencies, the fidelity-inconsistent adaptation was characterized as unplanned and reactive in response to challenges InSHAPE teams experienced delivering the intervention in community fitness facilities as intended. In all cases, the goal of the adaptation was to improve intervention access, feasibility and fit. Social and economic disadvantage were noted obstacles to accessing fitness facilities or gyms among participants with SMI, which led agencies to adapt the program by offering sessions at the mental health center.
conclusionsFindings from this study show the advantages of applying a health equity lens to evaluate how obstacles such as poverty and discrimination influence EBP adaptations. Recommendations can also assist researchers and community partners in making proactive decisions about allowable adaptations to EBPs.
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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.