Table 3 Summary of adaptation characteristics reported in peer-reviewed literature (EBIs), k = 42
From: A systematic review of adaptations of evidence-based public health interventions globally
Adaptation characteristics | Studies reporting characteristic k (%) |
|---|---|
Type of modification | |
 Content | 42 (100%) |
  Tailoring | 39 (92.9%) |
  Adding elements | 30 (71.4%) |
  Shortening | 13 (31.0%) |
  Removing elements | 12 (28.6%) |
  Loosening structure | 10 (23.8%) |
  Lengthening | 9 (21.4%) |
  Substitution | 7 (16.7%) |
  Integrating other approach | 5 (11.9%) |
  Reorder elements | 4 (9.5%) |
  Integrating intervention | 2 (4.8%) |
  Departing | 2 (4.8%) |
  Repeating elements | 1 (2.4%) |
 Cultural modification | 31 (73.8%) |
  Context | 40 (95.2%) |
   Population | 33 (78.6%) |
   Setting | 29 (69.0%) |
   Other | 3 (7.1%) |
  Delivery | 26 (61.9%) |
   Deliverer | 16 (38.1%) |
   Mode/medium | 14 (33.3%) |
   Other | 4 (9.5%) |
  Training | 16 (38.1%) |
  Evaluation | 19 (45.2%) |
  Change to core elements | 4 (9.5%) |
Reasons for adaptation | |
  Cultural appropriateness | 27 (64.3%) |
  Focus on new target population | 25 (59.5%) |
  Implement in new community setting | 24 (57.1%) |
  Improve ease and feasibility of implementation | 6 (14.3%) |
  Make program more widely accessible | 1 (2.4%) |
  Condense program | 1 (2.4%) |
Outcomes | |
 Implementation | |
  Acceptability | 28 (66.7%) |
  Fidelity | 22 (52.4%) |
  Feasibility | 22 (52.4%) |
  Adoption | 20 (47.6%) |
  Sustainability | 11 (26.2%) |
  Other | 5 (11.9%) |
 Behavioral/program | |
  Behavior | 30 (71.4%) |
  Practice | 9 (21.4%) |
  Knowledge | 7 (16.7%) |
  Self-efficacy | 5 (11.9%) |
  Environment | 4 (9.5%) |
  Well-being/health | 3 (7.1%) |
  Attitudes | 3 (7.1%) |
  Skills | 3 (7.1%) |
  Communication | 2 (4.8%) |
  Policy | 0 |
  Other | 4 (9.5%) |
 Individual satisfaction | 11 (26.2%) |