Adaptations of evidence-based trauma-focused interventions for children and adolescents: a systematic review

Table 2 Overview of adaptations based on FRAME (N = 42)^a

	n	%
Reason for adaptation
Improve fit with recipients	22	52.4
Address cultural factors	8	19.0
Address cultural factors/improve feasibility	3	7.1
Address cultural factors/increase engagement/improve effectiveness	2	4.8
Improve feasibility	2	4.8
Increase reach/improve feasibility/reduce cost	2	4.8
Address cultural factors/increase reach	1	2.4
Address cultural factors/improve feasibility/improve fit	1	2.4
Increase reach and improve feasibility	1	2.4
Who was involved in adaptation
Others and researcher^b	23	54.8
Not listed	16	38.1
Researcher	3	7.1
Content adaptations^c
Adding elements	35	83.3
Tailoring/tweaking/refining	28	66.7
Shortening/condensing	14	33.3
Lengthening/extending	10	23.8
Removing/skipping elements	7	16.7
Integrating another treatment into EBP	4	9.5
Re-ordering of intervention modules or segments	3	7.1
Spreading	3	7.1
Repeating elements or modules	1	2.4
Integrating the intervention into another approach	1	2.4
Contextual adaptations^c
Population	19	45.2
Format	10	23.8
Personnel	9	21.4
Setting	3	7.1

^a Percentages may not sum to 100% due to rounding
^b In seven instances, this information was not listed in the article itself, but was found in the only intervention manual available to the research team [63]
^c Interventions can have multiple content and contextual adaptations

ISSN: 2662-2211