Adaptive Intervention Implementation with Guidance

Based on the outcome of the Adoption Decision/Preparation phase, training with adaptation support begins in the Implementation phase. In contrast to the IAU condition in which the curriculum is set, the DAP training supports changes deemed necessary by the IRT. One prominent difference between IAU and DAP conditions is the explicit inclusion and discussion of adaptation during provider training, including why one might adapt, what one might adapt, what one might not adapt, when to seek guidance on adaptation, and how to use the ongoing coaches and IRT for tailoring SC. In addition to intervention adaptation, the need for adaptation at the system and/organizational levels is also an ongoing target for change. In addition, the research team in conjunction with intervention developers will refine assessment of fidelity. Departures from fidelity to core elements will be considered drift.