Table 2 Mutual capacity building model for adaptation (MCB-MA)
Activities | ||
|---|---|---|
Partnership building – Prior to intervention adaptation | ||
1 | Exploring | - Having initial conversations about the interest each partner has in engaging in the project and the project scope, without a binding commitment |
2 | Developing shared vision | - Agreeing on common goals, timeline, and markers for success - Discussing power sharing and imbalances in power and privilege within the partnership - Discussing existing intellectual property and any limits to the scope of potential adaptations to the existing intervention - Selecting adaptation framework |
3 | Formalizing | - Developing agreements around resource and data sharing, intellectual property, developing a Memorandum of Understanding (MOU), establishing clear roles, setting standards for meetings and communication, planning and resource allocation for capacity building and reciprocal training, and planning for dissemination of findings (including authorship) - Developing a plan for building cohesion as a team |
Partnership sustaining – During intervention adaptation and pilot testing | ||
4 | Sharing complementary expertise | Regardless of adaptation framework selected, adaptation will necessitate formative work in the new setting to understand the context and development of a protocol for an adapted intervention. - Originating group acts as consultants, providing input on intervention components and core elements as the adapting group develops the adapted protocol. - Partners identify complementary methodologic strengths and weaknesses, such as use of the adaptation framework, ways of evaluating interventions, academic writing and publishing, implementation science, or community engagement; partners identify opportunities for “just in time” teaching as the intervention is being adapted and piloted. |
5 | Reciprocal training | Regardless of adaptation framework selected, implementing the adapted intervention will necessitate training practitioners, an activity that can be supported by the originating group - Originating and adapting groups arrange who will lead the training, balancing the adapting groups’ expertise on the setting with the originating groups’ expertise in the intervention. Originating group highlights lessons learned and potentially implementation pitfalls from their prior work. - Throughout the training, originating group reflects on changes in the intervention or its implementation that may be useful in their setting. |
6 | Mutual feedback | - Following initial adaptation, training, and piloting of the new intervention, originating and adapting groups have a series of meaningful touch points (meetings, calls, electronic communication) to share the protocol for the adapted intervention, training outcomes data, and pilot outcomes data, respectively. These meetings can also include external stakeholders, including policymakers or community members. This may focus on implementation outcomes. - Adapting group solicits feedback from the originating group on how they might iteratively improve on these outcomes. - Originating group solicits feedback from adapting group on challenges they are having with the intervention, which may inform subsequent modifications to the intervention or its implementation. |
Partnership longevity – Following intervention adaptation and pilot testing | ||
7 | Consideration of next steps | - After the adapted intervention is piloted, partners discuss whether they would like to continue to collaborate after intervention adaptation has been completed. |