Key terms and definitions used in the ADAPT study
Adaptation | Intentional modification(s) of an evidence-informed intervention, in order to achieve better fit between an intervention and a new context. |
Context | Any feature of the circumstances in which an intervention is implemented that may interact with the intervention to produce variation in outcomes.9 10 |
Core components | Those features in the intent and design of an intervention deemed responsible for the effectiveness of the intervention.2 |
Drift | A misapplication or a mistaken application of an intervention involving technical errors, abandonment of core components or introduction of counterproductive elements resulting in a loss of intervention benefits.11 |
Refinement | Modification(s) of an intervention to work in the same place or with the same population as originally designed and implemented. |
Replication | The process of re-implementing an established intervention in a new context in a way that maintains fidelity to core goals, activities, delivery techniques, intensity and duration of the original study.12 |
Scale-out | The deliberate use of strategies to implement, test, improve and sustain an intervention as it is delivered to new populations and/or through new delivery systems that differ from those in effectiveness trials.13 |
Scale-up | The deliberate effort to broaden the delivery of an evidence-based intervention with the intention of reaching larger numbers of a target audience.13 |