Unplanned/ Reactive Modifications

Measures & Guidance > Unplanned/ Reactive Modifications 

Assessed using a UWAC-developed survey based on Framework for Reporting Adaptations and Modifications to Evidence-based practices (FRAME) and Framework for Reporting Adaptations and Modifications to Evidence-based Implementation Strategies (FRAME-IS) to capture adaptations made reactively (e.g., after intervention deployment).

In this section, we are interested in any changes that you have made to [THE INTERVENTION] while you were delivering it. Please mark all the boxes that best reflect the changes you made.   
Type of Change   Never  
(0%)  		Rarely   
(<10%)  		Occasionally (10-40%)  Half the time
(>40-60%)  		Frequently
(>60-90%)  		Almost all   
(>90%)  		Unable to Assess
(Don’t Know)  
I made minor changes to tailor, and/or refine the pieces of [THE INTERVENTION] (e.g., changed wording, simplified a worksheet).   □0   □1   □2   □3   □4   □5   □-1   
I substituted pieces of a different treatment approach for one of [THE INTERVENTION] pieces or activities. (e.g., provided different psychoeducation, taught a different skill).   □0   □1   □2   □3   □4   □5   □-1   
I integrated another treatment approach into [THE INTERVENTION].   □0   □1   □2   □3   □4   □5   □-1   
I skipped core components of [THE INTERVENTION] during a single session.   □0   □1   □2   □3   □4   □5   □-1   
 I did not deliver one or more of [THE INTERVENTION] components over the course of treatment.   □0   □1   □2   □3   □4   □5   □-1   
 I spread a single session’s content over multiple sessions.   □0   □1   □2   □3   □4   □5   □-1   
I extended the session time.   □0   □1   □2   □3   □4   □5   □-1   
I shortened the session time.  □0   □1   □2   □3   □4   □5   □-1   
I did more sessions of [THE INTERVENTION] than in the protocol.   □0   □1   □2   □3   □4   □5   □-1   
I did fewer sessions of [THE INTERVENTION] than in the protocol.   □0   □1   □2   □3   □4   □5   □-1   
I adjusted the order of [INTERVENTION] components.    □0   □1   □2   □3   □4   □5   □-1   
I adjusted the order of the content within a session (loosened the structure).   □0   □1   □2   □3   □4   □5   □-1   
I stopped using [THE INTERVENTION] before completing all components to start using another treatment strategy.      □0   □1   □2   □3   □4   □5   □-1   
Stopped using [THE INTERVENTION] and used another strategy for part of the session (e.g., 10 minutes or more) other than [THE INTERVENTION].  □0   □1   □2   □3   □4   □5   □-1   
I did not complete [THE INTERVENTION] protocol during a session (i.e., did not complete [THE INTERVENTION] content due to reasons other than a crisis or uncommon interruption).   □0   □1   □2   □3   □4   □5   □-1   
I repeated pieces (e.g., concept or activity) from a [THE INTERVENTION] session that were not intended to be done twice.         □0   □1   □2   □3   □4   □5   □-1   
I delivered the [THE INTERVENTION] protocol in a different format (e.g., group or telephone format).       □0   □1   □2   □3   □4   □5   □-1   
Another change (please describe): □0   □1   □2   □3   □4   □5   □-1   
Another change (please describe): □0   □1   □2   □3   □4   □5   □-1   
Another change (please describe): □0   □1   □2   □3   □4   □5   □-1   

What was the goal of the modifications you made? Check all that apply.    

  1. Increase reach   
  2. Increase engagement    
  3. Increase client retention    
  4. Improve feasibility for this setting   
  5. Improve fit of intervention to client’s needs    
  6. To address cultural factors    
  7. Improve effectiveness/outcomes    
  8. Reduce cost    
  9. Increase client satisfaction    
  10. Other (describe)

Based on the modifications you made, if you had to recommend making a change to this intervention protocol, what would you recommend?   

Measures & Guidance > Unplanned/ Reactive Modifications