{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T09:48:56Z","timestamp":1782121736523,"version":"3.54.5"},"reference-count":29,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T00:00:00Z","timestamp":1765238400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["148466"],"award-info":[{"award-number":["148466"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Southern California Clinical Translational Science Institute","award":["UL1TR001855"],"award-info":[{"award-number":["UL1TR001855"]}]},{"name":"Tier 1 Canadian Research Chair in Social Participation and Connection for Older Adults","award":["CRC-2022-00331; 2023-2030"],"award-info":[{"award-number":["CRC-2022-00331; 2023-2030"]}]},{"name":"Keck School of Medicine of USC\/Southern California Clinical Translational Science Institute","award":["UL1TR001855"],"award-info":[{"award-number":["UL1TR001855"]}]},{"DOI":"10.13039\/501100000156","name":"Fonds de Recherche du Qu\u00e9bec - Sant\u00e9","doi-asserted-by":"publisher","award":["26815"],"award-info":[{"award-number":["26815"]}],"id":[{"id":"10.13039\/501100000156","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000156","name":"Fonds de Recherche du Qu\u00e9bec - Sant\u00e9","doi-asserted-by":"publisher","award":["298996"],"award-info":[{"award-number":["298996"]}],"id":[{"id":"10.13039\/501100000156","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100013228","name":"Quebec Network for Research on Aging","doi-asserted-by":"crossref","award":["CRC-2022-00331; 2023-2030"],"award-info":[{"award-number":["CRC-2022-00331; 2023-2030"]}],"id":[{"id":"10.13039\/100013228","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Occup Ther"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background.<\/jats:title>\n                    <jats:p>\n                      Lifestyle Redesign\n                      <jats:sup>\u00ae<\/jats:sup>\n                      occupational therapy (LR-OT) originated in the Well Elderly studies as a preventive intervention for older adults, demonstrating positive health and cost outcomes. Although LR-OT later expanded to chronic condition management and inspired numerous programme adaptations for different contexts and populations, systematic reporting of intervention modifications remains scarce. This gap extends beyond OT, reflecting a broader movement in implementation science.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>\n                      This study applies the Framework for Reporting Adaptations and Modifications-Expanded (FRAME) to systematically document adaptations across four LR-OT programmes. Additionally, we examine fidelity-consistency by mapping programme components to the Well Elderly programme and core LR-OT elements.\n                      <jats:bold>Methods.<\/jats:bold>\n                      Four teams implementing adapted programmes\u2014diabetic foot ulcer self-management, primary care chronic condition management,\n                      <jats:italic toggle=\"yes\">Remodeler sa Vie<\/jats:italic>\n                      for French-Canadian older adults, and LR weight management\u2014participated in a structured mapping exercise to align programmes with FRAME and LR-OT principle components.\n                      <jats:bold>Results.<\/jats:bold>\n                      Adaptation approaches varied from highly structured to loosely standardized methods. Despite numerous modifications, all programmes strongly aligned with LR-OT's core characteristics and domains.\n                      <jats:bold>Conclusion.<\/jats:bold>\n                      This study highlights LR-OT's adaptability across diverse contexts while maintaining fidelity to its foundational framework. Findings contribute to implementation research, providing a model for systematically documenting and characterizing adaptations made to client-centred, evidence-based OT programmes.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00084174251397723","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T04:16:57Z","timestamp":1765340217000},"page":"245-267","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Adapting Lifestyle Redesign\n                    <sup>\u00ae<\/sup>\n                    : Navigating Fidelity and Contextual Fit Across Four Case Examples"],"prefix":"10.1177","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3766-7015","authenticated-orcid":false,"given":"Stacey L.","family":"Schepens Niemiec","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6275-6911","authenticated-orcid":false,"given":"Lauren","family":"Styer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmine","family":"Chapman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3280-8912","authenticated-orcid":false,"given":"Elizabeth A.","family":"Pyatak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5914-0708","authenticated-orcid":false,"given":"M\u00e9lanie","family":"Levasseur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle","family":"Granados","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8751-2583","authenticated-orcid":false,"given":"Valerie A.","family":"Tapia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chantelle","family":"Rice Collins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7177-0252","authenticated-orcid":false,"given":"Robyn","family":"Martinez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6658-9482","authenticated-orcid":false,"given":"Tze-Woei","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,9]]},"reference":[{"issue":"111","key":"e_1_3_4_2_1","first-page":"1","article-title":"\u201cScaling-out\u201d evidence-based interventions to new populations or new health care delivery systems","volume":"12","author":"Aarons G. A.","year":"2017","unstructured":"Aarons G. A., Sklar M., Mustanski B., Benbow N., Brown C. H. (2017). \u201cScaling-out\u201d evidence-based interventions to new populations or new health care delivery systems. Implementation Science, 12(111), 1\u201313. https:\/\/doi.org\/10.1186\/s13012-017-0640-6","journal-title":"Implementation Science"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/oso\/9780190683214.003.0017"},{"issue":"173","key":"e_1_3_4_4_1","first-page":"1","article-title":"Small studies, big decisions: The role of pilot\/feasibility studies in incremental science and premature scale-up of behavioral interventions","volume":"7","author":"Beets M. W.","year":"2021","unstructured":"Beets M. W., von Klinggraeff L., Weaver R. G., Armstrong B., Burkart S. (2021). Small studies, big decisions: The role of pilot\/feasibility studies in incremental science and premature scale-up of behavioral interventions. Pilot and Feasibility Studies, 7(173), 1\u20139. https:\/\/doi.org\/10.1186\/s40814-021-00909-w","journal-title":"Pilot and Feasibility Studies"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-8-117"},{"key":"e_1_3_4_6_1","article-title":"Expert perspectives on tailoring Lifestyle Redesign\u00ae for diabetic foot ulcer self-management: Applying the ADAPT-ITT framework","author":"Chapman J.","unstructured":"Chapman J., Styer L., Myong E., Wong E., Tan T., Schepens Niemiec S. L. (forthcoming). Expert perspectives on tailoring Lifestyle Redesign\u00ae for diabetic foot ulcer self-management: Applying the ADAPT-ITT framework. OTJR: Occupational Therapy Journal of Research.","journal-title":"OTJR: Occupational Therapy Journal of Research"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1997.03550160041036"},{"key":"e_1_3_4_8_1","volume-title":"Lifestyle Redesign:The intervention tested in the USC Well Elderly Studies","author":"Clark F.","year":"2015","unstructured":"Clark F., Blanchard J., Sleight A., Cogan A., Flor\u00edndez L., Gleason S., Heymann R., Hill V., Murphy M., Proffitt R., Schepens Niemiec S. L., Vigen C. (2015). Lifestyle Redesign: The intervention tested in the USC Well Elderly Studies (2nd ed.). AOTA Press.","edition":"2"},{"key":"e_1_3_4_9_1","volume-title":"Remodeler sa vie\u00ae : Version canadienne-fran\u00e7aise du manuel [Lifestyle Redesign\u00ae: The intervention tested in the USC Well Elderly studies]","author":"Clark F.","year":"2021","unstructured":"Clark F., Blanchard J., Sleight A., Cogan A., Florindez L., Gleason S. Heymann R., Hill V., Murphy M., Proffitt R., Schepens Niemiec S.L., Vigen C. (2021). Remodeler sa vie\u00ae : Version canadienne-fran\u00e7aise du manuel [Lifestyle Redesign\u00ae: The intervention tested in the USC Well Elderly studies]. M. Levasseur, M.-H. L\u00e9vesque, M. Beaudry, F.-H. Therrien, N. Larivi\u00e8re, J. Filiatrault, M. Parisien, V. Provencher, M. Cauchon, H. Corriveau, N. Champoux, G. Mercier, H. Carbonneau, & Y. 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C., Castro M., Lef\u00e8vre P. (2016). A modified theoretical framework to assess implementation fidelity of adaptive public health interventions. Implementation Science, 11(91), 1\u201311. https:\/\/doi.org\/10.1186\/s13012-016-0457-8","journal-title":"Implementation Science"},{"key":"e_1_3_4_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/15394492211011609"},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2019.037317"},{"key":"e_1_3_4_23_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2022.049269"},{"key":"e_1_3_4_24_1","unstructured":"Stirman S. W. (2023). FRAME coding manual. https:\/\/med.stanford.edu\/content\/dam\/sm\/fastlab\/documents\/FRAME_Codebook_12.3.23.docx"},{"key":"e_1_3_4_25_1","article-title":"The FRAME: An expanded framework for reporting adaptations and modifications to evidence-based interventions","volume":"14","author":"Stirman S. W.","year":"2019","unstructured":"Stirman S. W., Baumann A. A., Miller C. J. (2019). 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