Table 3 Summary of the application of FRAME-IS AND FRAME to the ATTACH Phone Strategy

The EBP being implemented is: The Adolescent Transition Package

The Implementation Strategy being modified is: the phone delivery strategy

Specification of the implementation strategy

 Action: Making a phone call

 Actor: Frontline HCW at CCC clinics

 Context/Setting: CCC clinics

 Target: YLH

 Timing: During working hours (8am–5 pm)

 Frequency: Once a month

 Dose: One chapter per call for up to 45 min

The modifications being made are:

See Table 1 and Appendix 1

The reasons for modification are:

Low phone ownership

Incorrect phone numbers

Challenges incorporating calls to workflow

Low-quality call experience

Fear of unintended disclosure

Scheduling conflict

(See Appendix 1 for extensive list)

What is modified:

Context (format, personnel, and setting)

Content

Evaluation procedures

What is the nature of the content, evaluation, or training modification?

Adding, tailoring, spreading

Relationship to core elements:

NA

What is the goal:

Increase adoption

Increase reach

Increase fit

Increase feasibility

Increase fidelity and effectiveness

What is the level of the adaptation rationale?

Implementer and patient level

When is the modification initiated?

Mid-implementation phase

Is the modification planned?

Planned/proactive

Who participants in the adaptation decision?

Entire team of implementers/care team

How widespread is the modification?

All implementers and patients

Sub-sets of implementers and patients who share similar characteristics