Table 1 FRAME domains
Domain | Description | Examples |
|---|---|---|
1. What | Areas/aspects modified | • Content • Context • Training • Evaluation • Implementation |
2. Who | Individuals who participated in recommending and deciding the modification to be made (i.e., the driver of change) | • Researcher • Intervention developer • Participant • Interventionist/service provider • Administrator • Policy maker |
3. When | Timing of the adaptation | • Pre-implementation • Pilot-implementation • Implementation • Scale-up |
4. Planning | Whether the modification was planned | • Planned (proactive adaptation) • Unplanned (reactive adaptation) |
5. Fidelity | Whether the modification was in line with the core element of the program | • Fidelity-consistent • Fidelity-inconsistent |
6. Temporality | Whether the modification was a temporary drift | • Transient change specific to a situation • Broad change for the extended period |
7. Delivery level | At what level of delivery, the modification was made (i.e., for whom the modification was made) | • Entire target group • Specific target subgroup • Entire practitioner group • Specific practitioner subgroup • Entire organization • Specific part of the organization |
8. Why | Reasons for the modification | • To improve fit with recipients • To increase reach/engagement • To improve effectiveness/outcomes • To reduce cost |