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. 2023 Jul;33(5):562-570.
doi: 10.1177/10497315221120605. Epub 2022 Aug 22.

Intervention Adaptation and Implementation Method for Real-World Constraints and Using New Technologies

Elwin Wu  1   2 , Yong Gun Lee  1   2 , Vitaliy Vinogradov  2 , Sultana Kali  2 , Aidar Yelkeyev  2 , Dawn A Goddard-Eckrich  1 , Anindita Dasgupta  1 , Leona Hess  3
Affiliations

Intervention Adaptation and Implementation Method for Real-World Constraints and Using New Technologies

Elwin Wu et al. Res Soc Work Pract. 2023 Jul.

Abstract

Purpose: Rigorous adaptation methods are needed to revise existing evidence-based behavioral interventions for implementation for new target populations, revised/updated outcomes, new delivery modalities, recent advances, and new technologies. We describe an adaptation method designed to overcome the real-world challenges of having very limited existing expertise, resources, and time.

Method: This adaptation method and accompanying visualization tool ("Deconstruction/Reconstruction Matrix") preserves theoretical mechanisms of behavior change, accounts for challenges in utilizing new technologies, and strengthens clinical processes, with an emphasis on safety.

Results: The adaptation of an in-person HIV behavioral intervention for sexual and gender diverse men in Kazakhstan to one delivered remotely via telecommunication and social media technologies exemplifies the process and strengths of the method, concomitantly resulting in recommendations for adaptation and implementation of mobile health (mHealth) and digital health interventions.

Discussion: This method allows researchers and clinicians to adapt interventions rapidly and rigorously and to benefit from new technologies.

Keywords: adaptation; implementation; intervention; mHealth; technology.

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Conflict of interest statement

Declaration of Conflicting Interests The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Deconstruction-Reconstruction Matrix of a five-session behavioral HIV preventive intervention for sexual and gender diverse men in Kazakhstan.
See this image and copyright information in PMC

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