Table 2 Example completion of the FRAME-IS
From: The FRAME-IS: a framework for documenting modifications to implementation strategies in healthcare
FRAME-IS module or sub-component | Example completion |
|---|---|
Module 1 | |
The EBP being implemented is: | Parent-Child Interaction Therapy (PCIT) |
The implementation strategy being modified is: | Training program for lay health workers to enhance parent engagement in PCIT |
The modification(s) being made is/are: | - Tailoring of training content (e.g., language) to local context to fit population differences - Removal of the behavioral coding component of the training |
The reason(s) for the modification(s) is/are: | - Improve appropriateness/feasibility |
Module 2 | |
What is modified? | - Content (details provided in Module 3) - Context (setting, based on transition from Miami to California) |
Module 3 | |
What is the nature of the content, evaluation, or training modification? | - Tailoring (modifying language) - Removing/skipping elements (specifically, removal of behavioral coding training component) |
OPTIONAL: what is the relationship to core elements? | - Unknown |
Module 4 | |
What is the goal? | - Increase the acceptability, appropriateness, and feasibility of the implementation effort |
What is the level of the rationale for the modification? | - Practitioner and Patient level (address cultural and linguistic differences for a population of predominantly Mexican descent) |
Module 5 | |
When is the modification initiated? | - Pre-implementation/planning/pilot phase |
Is the modification planned? | - Planned/proactive |
Module 6 | |
Who participates in the decision to modify? | - Researcher, program leader, and clinicians (lay health workers) |
OPTIONAL: Who makes the ultimate decision? | - Researchers |
Module 7 | |
How widespread is the modification? | - Network system/community (listed modifications were applied for entire California rollout) |