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When you take an existing intervention or implementation strategy to a new setting or population, you will almost always need to change the program and strategy to fit with your local needs, priorities, and resources. In some cases the context itself needs to change to be amenable to the program and strategy we propose.
Adaptations to the intervention, the implementation strategy, and the context will also happen at different times during the lifetime of a program:
In this section we focus on pre-implementation adaptations. Later sections will focus on processes that can help with adapting during implementation or sustainment.
An ideal approach for adaptations is planned. You can try a five-step process that can guide adaptations that are made before you start to use the program:
Step 1: Assess fit and consider adaptation
Step 2: Assess acceptability and importance of the adaptation
Step 3: Make final decisions about what and how to adapt
Step 4: Make adaptations
Step 5: Pretest and pilot test if the program is still effective
Previous: Preparing for Implementation / Next: Secrets to Successful Adaptation
