Possibility for Adaptation
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No strategy will be a perfect fit for any given need or organization. After you have spent time assessing your organization for needs, resources, fit, capacity, and readiness in Steps One - Three, now you need  to look at the intended interventions and determine how they can be modified to best match your needs and organizational capacity. The key to Step 4 is to identify what in the intended intervention can be modified and what is a core component that should never be modified. Once that determination is made, the team can decide how to best change the intervention. 
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In  this step, the implementing organization must determine: ​​
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Whether the innovation should be modified in any way to fit the setting and/or target population.
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If so, how changes to the innovation will be documented and monitored during implementation.
Tool to use during the Possibility for Adaptation phase:
FRAME
FRAME is a flexible and practical framework that allows teams to document modifications they make to any Evidence Based Intervention as they implement the intervention in their specific context(s). Through 7 modules, teams can use FRAME to describe the EBP and its modification, identify the categories of change, describe the reasons why modifications were made, how the modifications were decided upon and implemented, and the extent of the modification.
Who should use FRAME?
FRAME is particular useful for teams that are working with multiple interventions at once that need to be modified to fit their particular context.
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How does the tool help with Implementation?
FRAME helps teams track when, why and how an intervention has been modified. This process helps implementation research and practitioners understand how adaptations contribute to outcomes and whether refinements to the intervention may support the implementation process. FRAME is specifically useful after filling out the Hexagon tool which will inform the team on what adaptations they should make.
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Resources recommended:
Time: Using this tool to comprehensively track the changes is time intensive. Time heavy resource.
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People: This work will mostly be done by the central implementation team with input and feedback from all partners working on the intervention. Personnel medium resource.
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Funding: The major cost of this resource is personnel time. Funding medium resource.
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Slides for each module of FRAME to fully capture the timing, nature, goals, reasons for, and impact of adaptions.​
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