Evidence and context

An illustrative scenario is an intervention introduced with a particular training format, staffing model and referral process. During implementation, the team adjusts all three. An evaluation needs to know which version participants actually experienced.

The FRAME paper provides a structured way to document adaptations, including their timing, what changed, who made the decision and the reasons behind it. It is a framework for describing modifications and supporting research, not evidence that recording a modification makes it effective. Wiltsey Stirman, Baumann and Miller, 2019

The record also needs to leave room for interpretation. Some changes may preserve the intended mechanism while improving local fit. Others may remove an element that mattered. Recording what happened enables that question to be examined; it does not answer it automatically.

For a team preparing an evaluation, the distinction is practical. A description copied from the original proposal may no longer describe the intervention under review. The implementation history should make important differences visible.

A useful record should let the evaluator establish what was implemented before drawing conclusions about why it produced the observed result.

Implications for research and practice

Interpretation depends on the intervention actually delivered. Documentation of modifications supports analysis but does not establish the effect of those modifications.

Scope and limitations

This is a selective narrative brief based on the linked publications, not a systematic review or a new empirical study. Illustrative scenarios and practice implications are editorial analysis. Findings should be interpreted within the settings, methods and observation periods of their original sources.