Table 6 Summary of HWPP Adaptations and Modifications for School 2 based on Implementation Outcome Data from School 1
Who Participated | Goal | Rating Scales (Process Evaluation & URP-IR) | Design Team Focus Group Data | Study 1 Related Fidelity Data | What is modified | At what level of delivery | Nature of modification | Relationship to fidelity / core elements |
|---|---|---|---|---|---|---|---|---|
Researchers | Improve fit with recipients | Total time required to implement the process was lowest rated item on URP-IR Feasibility subscale. | ∙ Too many meetings. ∙ It took too long to identify and implement intervention. ∙ It was demoralizing to reflect on TWH and Ideal Workplace when not able to be obtained. ∙ It took too long to identify and implement a stress-reduction intervention. | Exposure: Design Team increasingly members skipped meetings or left early. Adherence: Data were variable for some meetings in which content did not take the projected amount of time. | Decreased number of meetings-combined 8 meetings into 5 (see Table 1). Maintained only core components of IDEAs process. | Group | ∙ Removing elements ∙ Substituting content ∙ Shortening / condensing some components | Fidelity consistent |
Researchers, Administrator | Increase retention & satisfaction | Total time required to implement the process was lowest rated item on URP-IR Feasibility subscale. | ∙ The duration of meetings was not sustainable. | Dosage / Exposure: Design Team members increasingly skipped meetings or left early. | Decreased duration of meetings from 2 h to 1 h. | Group | ∙ Shortening / condensing pacing | Fidelity consistent |