Table 2 ADAPT-ITT framework [27]
ADAPT-ITT phase | Methodology |
|---|---|
1. Assessment | Conducted focus groups/needs assessment with Community Advisory Board (CAB) |
2. Decision | Decision regarding type of intervention was pre-determined by evidence base; however, decisions regarding characteristics of the intervention (equipment and study structure) were made. |
3. Administration | Theater testing was conducted during the CAB focus groups with patient stakeholders prior to intervention implementation. |
4. Production | A draft of the tailored intervention was presented to the CAB for further feedback and approval. |
5. Topical experts | The study team specifically recruited topical experts for CAB membership; see Table 2. |
6. Integration | CAB input was integrated into the final adapted version of the intervention; the telehealth software company revised the software to reflect CAB recommendations. |
7. Training | Both clinical and installation experts received training with regard to study structure and equipment use. |
8. Testing | A pilot test of the intervention was conducted with 10 patients to identify “hands-on” challenges requiring adaptation; a focus group was then held with 4 of those patients to further explore these challenges and solutions |