Adapting and scaling a proven diabetes prevention program across 11 worksites in India: the INDIA-WORKS trial

Table 3 Organization-level adaptations to the INDIA-WORKS program

Description	Examples	Nature^a/additional detail	Goal Reason^b	Timing^c		Planned^d			Players^e
Description	Examples	Nature^a/additional detail	Goal Reason^b	Pre-implementation	Implementation	Planned/proactive	Planned/reactive	Unplanned/reactive	INDIA-WORKS staff	Worksite managers	Peer educators
Worksite exercise facilities	- Allowing use of worksite floor/grounds for walking - Creation of new walking trails or exercise spaces	Adding elements	Improve effectiveness/outcomes Organization: available resources and mission	X	X	X		X		X
Worksite canteen	- Offer more healthy choices at the canteen - Update recipes to be healthier - Create and post posters with information on healthy eating behaviors	Adding elements: offering and promoting healthier food options to the workforce	Improve effectiveness/outcomes Organization: available resources and mission	X		X				X
Health programming at the worksite	- Invite INDIA-WORKS team members to do lectures on diabetes/ diabetes prevention - Use regular worksite health screenings to identify individuals for the intervention - Promote participant successes at team meetings	Adding elements: leveraging worksite events and team meetings to promote the program, provide opportunities for users, and improve participant success	Improve effectiveness/outcomes Organization: available resources and mission		X	X	X			X

Headers correspond to the following FRAME domains: ^aWhat is the nature of the adaptation and why was it done?; ^bWhat is the goal of and reason for the adaptation?; ^cWhen did the adaptations occur?; ^dWhere modifications planned?; ^eWho participated in the decision to make the adaptation? Here, reported as specific players; in FRAME, these groups are included in the following categories: INDIA-WORKS staff includes treatment/intervention team, program developers and purveyors, and individual practitioners/facilitators; peer educators are individual practitioners/facilitators; and worksite managers are administration

ISSN: 2662-2211