Table 1 Overview of the 6-step IM Adapt process

Needs assessment, organizational capacity, and logic models

Describe organizational capacities and goals

Conduct a needs assessment to describe the health/behavior problems and develop a logic model of the problem

Develop a logic model of change

Write program goals

Search for evidence-based interventions (EBIs)

Search for EBIs to address the health problem/ risk behavior/ environmental factor

Judge basic fit to health problem, behavior, priority population, and organizational capacity

Assessment of detailed fit and planning of adaptations

Judge behavioral and environmental fit and list adaptations

Judge determinants and change methods fit and list adaptations

Judge delivery, design, and cultural fit and list adaptations

Judge implementation fit and list adaptations

Identify essential elements of the selected intervention and how to retain them

Adaptation of materials and activities

Prepare design documents for adaptation

Pre-test adapted materials

Produce final adaptations

Planning of implementation

Identify facilitators, facilitation behaviors, and outcomes

Develop facilitation scope, sequence, and instructions

Plan activities to motivate and train for facilitation

Plan logistics including budget, staffing, and materials

Planning of evaluation

Write evaluation questions

Choose indicators and measures

Choose the evaluation design

Planning data collection, analysis, and reporting