Table 3 Summary of FRAME codes for twelve documented CLARO adaptations

When

Pre-implementation

10

83%

Implementation

2

17%

Planned?

Planned/Proactive

10

83%

Planned/Reactive

2

17%

Who decided^a

CLARO team

12

100%

Clinic administrators

9

75%

Treatment developer/trainer

3

25%

Funder

1

8%

What modified^a

Context

9

75%

Content

4

33%

Training/Evaluation

6

50%

Implementation

1

8%

Level of delivery

Target population

6

50%

System/Community

4

33%

Cohort

2

17%

Context modifications^a

Population

6

50%

Personnel

3

25%

Setting

1

8%

n/a

3

25%

Content modifications

Adding elements/modules

3

25%

Integrating another treatment

1

8%

n/a

8

67%

Fidelity consistent?

Yes

12

100%

Collaborative care components^a

Patient identification and diagnosis

3

25%

Engage in integrated care program

2

17%

Provide evidence-based treatment

5

42%

Use of population-based registry

5

42%

Team communication/coordination

2

17

Psychiatric case review

1

8

Program oversight/improvement

4

33

Goals of modification^a

Increase engagement

3

25

Increase retention

2

17

Improve feasibility

3

25

Improve outcomes

6

50

Reduce cost

1

8

Increase satisfaction

2

17

Response to COVID-19

2

17

Sociopolitical factors^b

Funding/resource availability

1

8

Organization/Setting factors^b

Available resources

5

42

Location/accessibility

1

8

Social context

2

17

Provider factors^b

Previous training/skills

4

33

Recipient factors^b

Access to resources

2

17

Comorbidity

6

50

Crisis/emergency

2

17

Motivation/readiness

1

8