Adapting to CONNECT: modifying a nursing home-based team-building intervention to improve hospital care team interactions, functioning, and implementation readiness

dc.contributor.authorWang, Virginia
dc.contributor.authorD’Adolf, Joshua
dc.contributor.authorDecosimo, Kasey
dc.contributor.authorRobinson, Katina
dc.contributor.authorChoate, Ashley
dc.contributor.authorBruening, Rebecca
dc.contributor.authorSperber, Nina
dc.contributor.authorMahanna, Elizabeth
dc.contributor.authorVan Houtven, Courtney H.
dc.contributor.authorAllen, Kelli D.
dc.contributor.authorColón-Emeric, Cathleen
dc.contributor.authorDamush, Teresa M.
dc.contributor.authorHastings, Susan N.
dc.contributor.departmentMedicine, School of Medicine
dc.date.accessioned2023-08-01T09:19:31Z
dc.date.available2023-08-01T09:19:31Z
dc.date.issued2022-07-29
dc.description.abstractBackground: Clinical interventions often need to be adapted from their original design when they are applied to new settings. There is a growing literature describing frameworks and approaches to deploying and documenting adaptations of evidence-based practices in healthcare. Still, intervention modifications are often limited in detail and justification, which may prevent rigorous evaluation of interventions and intervention adaptation effectiveness in new contexts. We describe our approach in a case study, combining two complementary intervention adaptation frameworks to modify CONNECT for Quality, a provider-facing team building and communication intervention designed to facilitate implementation of a new clinical program. Methods: This process of intervention adaptation involved the use of the Planned Adaptation Framework and the Framework for Reporting Adaptations and Modifications, for systematically identifying key drivers, core and non-core components of interventions for documenting planned and unplanned changes to intervention design. Results: The CONNECT intervention's original context and setting is first described and then compared with its new application. This lays the groundwork for the intentional modifications to intervention design, which are developed before intervention delivery to participating providers. The unpredictable nature of implementation in real-world practice required unplanned adaptations, which were also considered and documented. Attendance and participation rates were examined and qualitative assessment of reported participant experience supported the feasibility and acceptability of adaptations of the original CONNECT intervention in a new clinical context. Conclusion: This approach may serve as a useful guide for intervention implementation efforts applied in diverse clinical contexts and subsequent evaluations of intervention effectiveness.
dc.eprint.versionFinal published version
dc.identifier.citationWang V, D'Adolf J, Decosimo K, et al. Adapting to CONNECT: modifying a nursing home-based team-building intervention to improve hospital care team interactions, functioning, and implementation readiness. BMC Health Serv Res. 2022;22(1):968. Published 2022 Jul 29. doi:10.1186/s12913-022-08270-1
dc.identifier.urihttps://hdl.handle.net/1805/34631
dc.language.isoen_US
dc.publisherBMC
dc.relation.isversionof10.1186/s12913-022-08270-1
dc.relation.journalBMC Health Services Research
dc.rightsAttribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourcePMC
dc.subjectAdaptation
dc.subjectComplexity science
dc.subjectTeams
dc.subjectMobility
dc.subjectImplementation
dc.subjectIntervention design
dc.titleAdapting to CONNECT: modifying a nursing home-based team-building intervention to improve hospital care team interactions, functioning, and implementation readiness
dc.typeArticle
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