AimsTo co‐identify adaptations with key stakeholders needed to optimise elements of a video‐based intervention (i.e., PREEMIE PROGRESS [PP]), which trains parents in evidence‐based family management skills to care for their very preterm infant in the neonatal intensive care unit (NICU).DesignDescriptive qualitative study oriented with a pragmatic philosophy, informed by the reach, effectiveness, adoption, implementation, maintenance (RE‐AIM) framework and the framework for reporting adaptations and modifications‐expanded (FRAME).MethodsSemistructured interviews to identify potential adaptations with key stakeholders: family management researchers (n = 5), clinicians (n = 9), technology experts (n = 5) and parents of preterm infants (n = 17). Weekly design team meetings to select and implement high‐priority adaptations necessary for the next research phase. Monthly NICU parent partnership meetings to review adaptations and make recommendations for potential adaptations with conflicting data.ResultsStakeholders (N = 36) suggested 98 potential adaptations: 32 (33.0%) were completed, 8 (8.2%) were abandoned, 5 (5.2%) have work that is ongoing and 52 (53.6%) were tabled for future research phases. Content adaptations (70, 71.4%) were the most frequently suggested adaptation type. Potential adaptations mostly addressed RE‐AIM dimensions of effectiveness (43, 43.9%), and implementation (46, 46.9%) and were directed at the parent (i.e., intervention recipient) level (79, 81.4%).ConclusionUse of the RE‐AIM framework ensured we systematically identified needed adaptations with key stakeholders across a range of dimensions that would improve PP for parents now and in future phases of this research.Implications for the ProfessionCo‐identifying potential adaptations with key stakeholders, paired with FRAME documentation, can help nurses prioritise adaptations most appropriate for each phase of implementation.ImpactOur paper highlights for nurse clinicians and researchers how FRAME documentation of potential adaptations can support stakeholder engagement and a systematic approach to incorporating adaptations throughout all phases of the research process, thereby shortening the evidence to practice gap.Reporting MethodCOREQ guidelines for qualitative reporting.Patient/Public ContributionThe research team was supported by members of the NICU's Parent Partnership Council (PPC), whose mission is to promote family‐centred care improvement projects and research within the NICU. This committee is comprised of nursing, physician, allied health leadership and parents of infants previously hospitalised in the NICU. The NICU PPC met monthly to review conflicting data on potential adaptations and provide recommendations on adaptation decisions.

中文翻译：

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在对早产儿父母的家庭管理干预进行迭代、利益相关者参与的改进过程中，使用 FRAME 文档实现 RE-AIM 目标


目的与关键利益相关者共同确定优化基于视频的干预（即早产儿进展 [PP]）要素所需的适应，该干预培训父母掌握循证家庭管理技能，以便在新生儿重症监护病房 （NICU） 照顾他们的早产儿。设计以务实哲学为导向的描述性定性研究，以范围、有效性、采用、实施、维护 （RE-AIM） 框架和报告适应和修改扩展框架 （FRAME） 为信息。方法半结构化访谈以确定与关键利益相关者的潜在适应：家庭管理研究人员 （n = 5）、临床医生 （n = 9）、技术专家 （n = 5） 和早产儿父母 （n = 17）。每周举行设计团队会议，以选择和实施下一个研究阶段所需的高优先级调整。每月召开一次 NICU 家长合作会议，以审查适应情况，并根据相互矛盾的数据对潜在的适应提出建议。结果利益相关者 （N = 36） 提出了 98 种可能的适应：32 种 （33.0%） 已完成，8 种 （8.2%） 被放弃，5 种 （5.2%） 正在进行中，52 种 （53.6%） 被提交到未来的研究阶段。内容改编 （70， 71.4%） 是最常被推荐的改编类型。潜在的调整主要针对有效性 （43， 43.9%） 和实施 （46， 46.9%） 的 RE-AIM 维度，并且针对父母（即干预接受者）层面 （79， 81.4%）。结论使用 RE-AIM 框架确保我们与关键利益相关者在一系列维度上系统地确定了需要的调整，这将改善父母现在和未来阶段的 PP 本研究。对职业的影响与关键利益相关者共同确定潜在的适应措施，并与 FRAME 文件相结合，可以帮助护士确定最适合每个实施阶段的适应的优先级。影响我们的论文为护士临床医生和研究人员强调了潜在适应的 FRAME 记录如何支持利益相关者的参与，以及一种将适应纳入研究过程所有阶段的系统方法，从而缩短证据与实践的差距。报告方法COREQ 定性报告指南。患者/公众贡献研究团队得到了 NICU 家长合作委员会 （PPC） 成员的支持，该委员会的使命是在 NICU 内促进以家庭为中心的护理改善项目和研究。该委员会由护理、医生、专职医疗领导和之前在 NICU 住院的婴儿的父母组成。NICU PPC 每月召开一次会议，审查有关潜在适应的相互矛盾的数据，并就适应决策提供建议。