| FRAME category . | No. of trials . | Emergent domain/theme . |
|---|---|---|
| Contextual modification | ||
| Contextual modification to format of intervention | 8 | Adapted part or all of the intervention to be delivered virtually |
| Content modification | ||
| Tailoring/refining | 3 | Adjusted protocols to facilitate delivery of intervention |
| Adding elements | 4 | Elements added to enhance safety/security of recipient during COVID-19 |
| Removing or skipping elements | 3 | Hands-on pain treatment modalities (e.g., chiropractic care, physical therapy) availability reduced |
| Training and evaluation | 3 | Trainings conducted remotely rather than in-person |
| Modifications to implementation strategies | 9 | Recruitment suspended or delayed |
| Relationship to fidelity | ||
| Core elements of intervention preserved | 8 | Intervention delivered as intended |
| Core elements of intervention changed | 2 | Core elements of “usual care” conditions may have been compromised |
| Reasons for adapting/modifying | ||
| Sociopolitical | 5 | Existing mandates, regulations, and political climate resulting from COVID-19 affected trial |
| Organization/setting | 5 | Competing demands, variability of COVID-19 social distancing guidelines, organizational transition to virtual care delivery affected trial |
| Provider | 8 | Provider concerns with safety, inability to deliver usual care, comfort with telehealth affected trial |
| Recipient | 7 | Patient concerns with safety |
| FRAME category . | No. of trials . | Emergent domain/theme . |
|---|---|---|
| Contextual modification | ||
| Contextual modification to format of intervention | 8 | Adapted part or all of the intervention to be delivered virtually |
| Content modification | ||
| Tailoring/refining | 3 | Adjusted protocols to facilitate delivery of intervention |
| Adding elements | 4 | Elements added to enhance safety/security of recipient during COVID-19 |
| Removing or skipping elements | 3 | Hands-on pain treatment modalities (e.g., chiropractic care, physical therapy) availability reduced |
| Training and evaluation | 3 | Trainings conducted remotely rather than in-person |
| Modifications to implementation strategies | 9 | Recruitment suspended or delayed |
| Relationship to fidelity | ||
| Core elements of intervention preserved | 8 | Intervention delivered as intended |
| Core elements of intervention changed | 2 | Core elements of “usual care” conditions may have been compromised |
| Reasons for adapting/modifying | ||
| Sociopolitical | 5 | Existing mandates, regulations, and political climate resulting from COVID-19 affected trial |
| Organization/setting | 5 | Competing demands, variability of COVID-19 social distancing guidelines, organizational transition to virtual care delivery affected trial |
| Provider | 8 | Provider concerns with safety, inability to deliver usual care, comfort with telehealth affected trial |
| Recipient | 7 | Patient concerns with safety |
| FRAME category . | No. of trials . | Emergent domain/theme . |
|---|---|---|
| Contextual modification | ||
| Contextual modification to format of intervention | 8 | Adapted part or all of the intervention to be delivered virtually |
| Content modification | ||
| Tailoring/refining | 3 | Adjusted protocols to facilitate delivery of intervention |
| Adding elements | 4 | Elements added to enhance safety/security of recipient during COVID-19 |
| Removing or skipping elements | 3 | Hands-on pain treatment modalities (e.g., chiropractic care, physical therapy) availability reduced |
| Training and evaluation | 3 | Trainings conducted remotely rather than in-person |
| Modifications to implementation strategies | 9 | Recruitment suspended or delayed |
| Relationship to fidelity | ||
| Core elements of intervention preserved | 8 | Intervention delivered as intended |
| Core elements of intervention changed | 2 | Core elements of “usual care” conditions may have been compromised |
| Reasons for adapting/modifying | ||
| Sociopolitical | 5 | Existing mandates, regulations, and political climate resulting from COVID-19 affected trial |
| Organization/setting | 5 | Competing demands, variability of COVID-19 social distancing guidelines, organizational transition to virtual care delivery affected trial |
| Provider | 8 | Provider concerns with safety, inability to deliver usual care, comfort with telehealth affected trial |
| Recipient | 7 | Patient concerns with safety |
| FRAME category . | No. of trials . | Emergent domain/theme . |
|---|---|---|
| Contextual modification | ||
| Contextual modification to format of intervention | 8 | Adapted part or all of the intervention to be delivered virtually |
| Content modification | ||
| Tailoring/refining | 3 | Adjusted protocols to facilitate delivery of intervention |
| Adding elements | 4 | Elements added to enhance safety/security of recipient during COVID-19 |
| Removing or skipping elements | 3 | Hands-on pain treatment modalities (e.g., chiropractic care, physical therapy) availability reduced |
| Training and evaluation | 3 | Trainings conducted remotely rather than in-person |
| Modifications to implementation strategies | 9 | Recruitment suspended or delayed |
| Relationship to fidelity | ||
| Core elements of intervention preserved | 8 | Intervention delivered as intended |
| Core elements of intervention changed | 2 | Core elements of “usual care” conditions may have been compromised |
| Reasons for adapting/modifying | ||
| Sociopolitical | 5 | Existing mandates, regulations, and political climate resulting from COVID-19 affected trial |
| Organization/setting | 5 | Competing demands, variability of COVID-19 social distancing guidelines, organizational transition to virtual care delivery affected trial |
| Provider | 8 | Provider concerns with safety, inability to deliver usual care, comfort with telehealth affected trial |
| Recipient | 7 | Patient concerns with safety |
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