Table 2 Suggested adaptations organized by FRAME domains [15]
| Â | No. % |
|---|---|
Adaptation or recommendation for fidelity optimization? | |
 Adaptation | 29 (76) |
 Recommendation for fidelity optimization | 9 (24) |
WHAT should be modified? | |
 Content | 18 (47) |
 Context | 10 (26) |
 Implementation and scale-up | 6 (16) |
 Training and evaluation | 4 (11) |
At what LEVEL OF DELIVERY?a | |
 Family navigator | 31 (82) |
 Individual family | 19 (50) |
 Supervisor/program team | 15 (39) |
 Clinic | 9 (24) |
 Network system/community | 7 (18) |
 State | 5 (13) |
Relationship to fidelity (if recommendation were implemented)? | |
 Fidelity consistent/core elements preserved | 23 (61) |
 Unknown | 11 (29) |
 Fidelity inconsistent/core elements changed | 4 (11) |
What would be the GOAL?a | |
 Improve effectiveness/outcomes | 13 (34) |
 Improve fit with recipients | 12 (32) |
 Increase reach or engagement | 11 (29) |
 Address cultural factors | 9 (24) |
 Increase satisfaction | 7 (18) |
 Increase retention | 4 (11) |
 Improve feasibility | 1 (3) |
 Reduce cost | 0 (0) |
Content recommendations only ( n  = 18) | |
 What is the NATURE of the content modification? | |
  Adding elements | 8 (44) |
  Tailoring/tweaking/refining | 3 (17) |
  Optimizing fidelityb | 2 (11) |
  Spreading | 2 (11) |
  Changes in packaging or materials | 2 (11) |
  Lengthening/extending | 1 (6) |
Context recommendations only ( n  = 10) | |
 Contextual modifications made to which of the following? | |
  Personnel | 7 (70) |
  Setting | 3 (30) |
  Format | 0 (0) |
  Population | 0 (0) |