Table 6 Program adaptations: Framework for Reporting Adaptations and Modifications-Enhanced (FRAME)
Core function | What core forms are modified? | At what level of delivery? | What is the nature of the content modification? |
|---|---|---|---|
Identify children ages 2–12 years with elevated BMI during primary care visits | Content modification: BMI based on height and weight recorded at a visit from previous 3 months | Clinician-level | Tailoring/tweaking/refining |
Guide primary care management of children with elevated BMI | Content modification: to assist with efficient workflow, added functionality indicating when an order was last placed | Clinician-level | Tailoring/tweaking/refining |
Support parental self-guided family behavior change | Content modification: family educational handouts available to be delivered via patient portal | Family-level | Tailoring/tweaking/refining |
Support parental self-guided family behavior change | Content modification: family behavior change messages developed into brief, family-friendly video | Family-level | Adding elements |
Support parental self-guided family behavior change | Content modification: video created to prepare families for in-person and telehealth visits focused on behavior change | Family-level | Adding elements |
Connect families to resources to support behavior change and address social needs | Content modification: developed one-page handout about stressful times that included pandemic-specific resources delivered via patient portal and website | Family-level | Adding elements |
Connect families to resources to support behavior change and address social needs | Content modification: developed one-page handout with a curated list of websites/social media delivered via patient portal and website | Family-level | Adding elements |
Provide clinician education and training in best practices for pediatric weight management | Training modification: training sessions and technical assistance offered virtually | Clinician-level | Tailoring/tweaking/refining |
Provide clinician education and training in best practices for pediatric weight management | Content modification: developed handout for clinicians regarding best practices for virtual pediatric weight management | Clinician-level | Adding elements |