Table 1 Completed ADAPT-ITT procedures [39]
ADAPT-ITT phase | Methodology |
|---|---|
1. Assessment | Conducted focus groups/needs assessment with Community Advisory Board and subcommittees |
2. Decision | Decision regarding type of intervention was pre-determined by evidence base; however, decisions regarding major adaptations to the intervention were implemented by the study team based upon Community Advisory Board recommendations (equipment and study structure) |
3. Administration | Theater testing was conducted during the Community Advisory Board patient panel focus groups with patient stakeholders iteratively (3 times across 8 months) prior to intervention implementation. |
4. Production | A draft of the tailored intervention was iteratively (3 times across 8 months) presented to the Community Advisory Board for further feedback and approval. |
5. Topical experts | The study team specifically recruited topical experts for Community Advisory Board membership; see Fig. 1. |
6. Integration | Community Advisory Board input was integrated into the final adapted version of the intervention; the telehealth software company revised the software to reflect Community Advisory Board recommendations. |
7. Training | Both clinical and recruitment specialists received training with regard to study structure and equipment use. |
8. Testing | A pilot test was conducted with 12 patients to identify “hands-on” challenges requiring adaptation; a focus group and structured interviews were subsequently held with these patients to further explore these challenges and solutions |