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Quality Enhancement Research Initiative

2022 Adaptation, Fidelity, and Tailoring (AFT) Implementation Workgroup Activity Summary

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Group leaders: Borsika Rabin, MPH, PhD, PharmD and Russell E. Glasgow, PhD

Group Facilitator: Christine Kowalski, MPH




March 14, 2022

Dr. Aimee Kroll-Desrosiers

Evidence-Based Intervention Adaptations within the Veterans Health Administration: A Scoping Review

Evidence-based interventions (EBIs) are often implemented into settings different from those in which they were originally developed. Adapting EBIs in clinical or public health settings that are tailored to the targeted population may lead to greater reach, sustainability, and fit of the intervention. In this review, we sought to understand the use of adaptations to EBIs within the Veterans Health Administration, to better understand how EBIs have been adapted for Veterans or specific populations of Veterans.

February 14, 2022

Stephen Bartels, MD, MS; Kelly Aschbrenner, PhD

Applying an equity lens to characterizing the process and reasons for an adaptation to an evidenced-based practice

Adaptations to evidence-based practices (EBPs) are common but can impact implementation and patient outcomes. In our prior research, providers in routine care made a fidelity-inconsistent adaptation to an EBP that improved health outcomes in people with serious mental illness (SMI). The purpose of this study was to characterize the process and reasons for the adaptation using a framework for reporting adaptations and modifications to EBPs, with a focus on equity.

Related manuscript:

January 10, 2022

Marina S. McCreight, MPH

Using a Multi-Method Longitudinal Approach to Document, Assess, and Understand Adaptations in VA Advanced Care Coordination Program

This presentation will describe a multi-method approach to documenting adaptations in a large program grant including four projects and one associated project and provides findings from the analysis of one of the five projects that used our methodology and report on key findings on the adaptations that were made to the program across multiple time points and using multiple techniques.