A systematic review of community stakeholder involvement during application of the ADAPT-ITT model to adapt trauma interventions for new populations.

Abstract

Objectives: Adapting evidence-based interventions for new populations and involving community stakeholders in the adaptation process is important for improving the dissemination and efficacy of interventions aimed to prevent trauma or prevent/treat problems among trauma survivors. Yet, little is known about community stakeholders' involvement during the adaptation process. This systematic review aims to do the following: (a) identify studies applying the ADAPT-ITT model to adapt interventions for preventing trauma or preventing/treating problems among trauma survivors, (b) examine both the presence/ absence of community stakeholders' involvement, and (c) identify innovative community stakeholder involvement during application of this model. Method: Six databases were searched for related studies. Data was extracted about community stakeholders' involvement during specific phases of the ADAPT-ITT model that allowed for greater community stakeholder involvement. One phase involves stakeholders providing suggested intervention modifications during what is called a "theater test." Results: Thirty-two studies that described the adaptation of 19 interventions were identified. Most studies involved community stakeholders during the needs assessment and theater tests (83%). Few studies described community stakeholders as sharing decision making about which intervention to use for the new population (18%). Approximately half (44-50%) reported community stakeholders either received training on the adapted intervention or facilitated the adapted interventions during testing phase. Innovative strategies included using community stakeholder advisory boards to guide intervention selection and modifications. Conclusions: Findings suggest the need for improving community stakeholder involvement throughout the application of the ADAPT-ITT model to advance trauma science and provide examples of innovative strategies for doing so. Clinical Impact StatementFindings underscore the need for researchers and community stakeholders (e.g., community service providers) to work more collaboratively throughout the application of the ADAPT-ITT model to adapt interventions to prevent trauma or prevent/treat problems among trauma survivors. Collaborations are especially needed during the decision about which evidence-based trauma intervention is needed to be considered for the new population.

Psychological Interventions for Early Life Trauma in the Digital Age Childhood

“…Community stakeholder involvement in the adaptation of trauma interventions has been examined, highlighting the importance of innovative community engagement to advance trauma science and develop culturally responsive interventions (Cavanaugh & Wismar, 2022). This systematic review sought to identify studies using the ADAPT-ITT model to adapt interventions for trauma survivors, emphasizing the need for innovative approaches to involve community stakeholders in the adaptation and implementation of trauma interventions.…”

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“…We applied the ADAP-ITT framework, which has proven to be effective for that purpose [39]. It has previously been utilized when adapting other psychological interventions and in mental health populations [40][41][42]. ADAPT-ITT was also selected as it allows for the involvement of patients, relatives, adolescents, and experts.…”

Centering PrEP: Utilizing ADAPT-ITT to inform group PrEP care for sex workers in Chicago

“…Utilizing ADAPT-ITT for our study ensured community involvement from conception to dissemination. In this paper, we describe the use of the ADAPT-ITT model for adapting the Centering Healthcare intervention to meet the HIV prevention and PrEP needs of sex workers in Chicago [ 30 , 32 ]. The Centering model has been successfully adapted and used around the world.…”