Decision maker (overall kappa = 0.80, n = 261) | Frequency | % of total modifications | |
---|---|---|---|
Individual practitionera | 55 | 21 | |
Team or group of practitioners | 24 | 9 | |
Administrator | 2 | <1 | |
Researcher | 22 | 8 | |
Intervention developer or purveyorb | 70 | 27 | |
Coalition of stakeholdersc | 76 | 29 | |
Unknown/insufficient information | 12 | 5 | |
Contextual modifications (overall kappa = 1.00, n = 41) | Frequency | % of contextual modifications | % of total modifications |
Format | 8 | 25 | 3 |
Setting | 6 | 19 | 2 |
Personnel | 10 | 3 | 4 |
Population | 8 | 25 | 3 |
Training and evaluation Processes | 9 | - | 3 |
Content modifications (n = 217) | Frequency | % of content modifications | % of total modifications |
Level (overall kappa = 0.79) | |||
Individual recipient | 14 | 6 | 5 |
Cohort | 14 | 6 | 5 |
Populationd | 71 | 33 | 28 |
Provider/facilitator | 20 | 9 | 8 |
Unite | 38 | 18 | 15 |
Hospital/organization | 22 | 10 | 9 |
Network/communityf | 38 | 18 | 15 |
Nature of modification (overall kappa = 0.87) | |||
Tailoring/tweaking/refiningf | 73 | 34 | 28 |
Adding elementsg | 62 | 29 | 24 |
Removing elementsg | 33 | 15 | 13 |
Shortening/condensingh | 17 | 8 | 7 |
Lengthening/extending | 12 | 6 | 5 |
Substituting elements | 5 | 2 | 2 |
Re-ordering elements | 4 | 2 | 2 |
Integrating another approach into the intervention | 3 | 1 | 1 |
Integrating the intervention into another approach | 2 | 1 | 1 |
Departing from the intervention (“Drift”) | 1 | <1 | <1 |
Loosening structure | 1 | <1 | <1 |
Repeating elements | 1 | <1 | <1 |