Towards a comprehensive model for understanding adaptations' impact: the model for adaptation design and impact (MADI).

Implementation Science : IS
M Alexis KirkSarah A Birken

Abstract

Implementation science is shifting from qualifying adaptations as good or bad towards understanding adaptations and their impact. Existing adaptation classification frameworks are largely descriptive (e.g., who made the adaptation) and geared towards researchers. They do not help practitioners in decision-making around adaptations (e.g., is an adaptation likely to have negative impacts? Should it be pursued?). Moreover, they lack constructs to consider "ripple effects" of adaptations (i.e., both intended and unintended impacts on outcomes, recognizing that an adaptation designed to have a positive impact on one outcome may have unintended impacts on other outcomes). Finally, they do not specify relationships between adaptations and outcomes, including mediating and moderating relationships. The objective of our research was to promote systematic assessment of intended and unintended impacts of adaptations by using existing frameworks to create a model that proposes relationships among constructs. We reviewed, consolidated, and refined constructs from two adaptation frameworks and one intervention-implementation outcome framework. Using the consolidated and refined constructs, we coded qualitative descriptions of 14 adaptations ...Continue Reading

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Citations

May 6, 2021·Prevention Science : the Official Journal of the Society for Prevention Research·Melvin M Mark
May 15, 2021·The International Journal of Behavioral Nutrition and Physical Activity·Rhiannon E HawkesDavid P French
Jun 28, 2021·BMC Medical Research Methodology·Amber D HaleyRachel Gold
Aug 5, 2021·BMJ : British Medical Journal·Graham MooreRhiannon Evans
Aug 25, 2021·Genetics in Medicine : Official Journal of the American College of Medical Genetics·April MorrowNatalie Taylor

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Software Mentioned

FRAME
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MADI

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