{"id":"https://openalex.org/W4407716728","doi":"https://doi.org/10.3389/fdgth.2025.1493814","title":"Adaptation of a digital health intervention for rural adults: application of the Framework for Reporting Adaptations and Modifications-Enhanced","display_name":"Adaptation of a digital health intervention for rural adults: application of the Framework for Reporting Adaptations and Modifications-Enhanced","publication_year":2025,"publication_date":"2025-02-18","ids":{"openalex":"https://openalex.org/W4407716728","doi":"https://doi.org/10.3389/fdgth.2025.1493814","pmid":"https://pubmed.ncbi.nlm.nih.gov/40041126"},"language":"en","primary_location":{"id":"doi:10.3389/fdgth.2025.1493814","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2025.1493814","pdf_url":null,"source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Digital Health","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3389/fdgth.2025.1493814","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5029289063","display_name":"Maura M. Kepper","orcid":"https://orcid.org/0000-0002-5971-9189"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Maura M. Kepper","raw_affiliation_strings":["Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, MO, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, MO, United States","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017645793","display_name":"Callie Walsh\u2010Bailey","orcid":"https://orcid.org/0000-0002-1417-5130"},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Callie Walsh-Bailey","raw_affiliation_strings":["Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021048978","display_name":"Loni Parrish","orcid":"https://orcid.org/0000-0002-4721-0211"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Loni Parrish","raw_affiliation_strings":["Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, MO, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, MO, United States","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Ainsley Mackenzie","orcid":null},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ainsley Mackenzie","raw_affiliation_strings":["Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, MO, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, MO, United States","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046303417","display_name":"Lisa M. Klesges","orcid":"https://orcid.org/0000-0001-6237-4743"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lisa M. Klesges","raw_affiliation_strings":["Department of Surgery, Washington University School of Medicine, St. Louis, MO, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Washington University School of Medicine, St. Louis, MO, United States","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038068208","display_name":"Peg Allen","orcid":"https://orcid.org/0000-0001-7000-796X"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Peg Allen","raw_affiliation_strings":["Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, MO, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, MO, United States","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024529656","display_name":"Kia L. Davis","orcid":"https://orcid.org/0000-0002-1338-3018"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kia L. Davis","raw_affiliation_strings":["Department of Surgery, Washington University School of Medicine, St. Louis, MO, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Washington University School of Medicine, St. Louis, MO, United States","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034573276","display_name":"Randi E. Foraker","orcid":"https://orcid.org/0000-0001-9255-9394"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Randi Foraker","raw_affiliation_strings":["Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St. Louis, MO, United States","Institute for Informatics, Washington University School of Medicine, St. Louis, MO, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St. Louis, MO, United States","institution_ids":[]},{"raw_affiliation_string":"Institute for Informatics, Washington University School of Medicine, St. Louis, MO, United States","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5084691556","display_name":"Ross C. Brownson","orcid":"https://orcid.org/0000-0003-4260-2205"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ross C. Brownson","raw_affiliation_strings":["Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, MO, United States","Siteman Cancer Center and Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, MO, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, MO, United States","institution_ids":["https://openalex.org/I204465549"]},{"raw_affiliation_string":"Siteman Cancer Center and Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, MO, United States","institution_ids":["https://openalex.org/I204465549"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":9,"corresponding_author_ids":["https://openalex.org/A5029289063"],"corresponding_institution_ids":["https://openalex.org/I204465549"],"apc_list":{"value":1900,"currency":"USD","value_usd":1900},"apc_paid":{"value":1900,"currency":"USD","value_usd":1900},"fwci":1.2212,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.77467863,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":96,"max":98},"biblio":{"volume":"7","issue":null,"first_page":"1493814","last_page":"1493814"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.5756000280380249,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.5756000280380249,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.17739999294281006,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.061900001019239426,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/adaptation","display_name":"Adaptation (eye)","score":0.8600884675979614},{"id":"https://openalex.org/keywords/intervention","display_name":"Intervention (counseling)","score":0.6652653217315674},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.383350670337677},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.28665632009506226},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.16979792714118958},{"id":"https://openalex.org/keywords/neuroscience","display_name":"Neuroscience","score":0.16178980469703674}],"concepts":[{"id":"https://openalex.org/C139807058","wikidata":"https://www.wikidata.org/wiki/Q352374","display_name":"Adaptation (eye)","level":2,"score":0.8600884675979614},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.6652653217315674},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.383350670337677},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.28665632009506226},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.16979792714118958},{"id":"https://openalex.org/C169760540","wikidata":"https://www.wikidata.org/wiki/Q207011","display_name":"Neuroscience","level":1,"score":0.16178980469703674}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fdgth.2025.1493814","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2025.1493814","pdf_url":null,"source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Digital Health","raw_type":"journal-article"},{"id":"pmid:40041126","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40041126","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in digital health","raw_type":null},{"id":"pmh:oai:doaj.org/article:d72a695af64c4d568ade9a6e59e6be72","is_oa":true,"landing_page_url":"https://doaj.org/article/d72a695af64c4d568ade9a6e59e6be72","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Digital Health, Vol 7 (2025)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11876167","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11876167","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Front Digit Health","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.3389/fdgth.2025.1493814","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2025.1493814","pdf_url":null,"source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Digital Health","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":53,"referenced_works":["https://openalex.org/W1040189553","https://openalex.org/W1587716097","https://openalex.org/W1937128797","https://openalex.org/W1964719847","https://openalex.org/W1970035514","https://openalex.org/W1987919544","https://openalex.org/W2002735931","https://openalex.org/W2017490739","https://openalex.org/W2040106495","https://openalex.org/W2047241023","https://openalex.org/W2050556626","https://openalex.org/W2068651465","https://openalex.org/W2068765209","https://openalex.org/W2109880945","https://openalex.org/W2132287353","https://openalex.org/W2134319420","https://openalex.org/W2142225512","https://openalex.org/W2145259564","https://openalex.org/W2154315546","https://openalex.org/W2156848121","https://openalex.org/W2159524775","https://openalex.org/W2169362019","https://openalex.org/W2534211758","https://openalex.org/W2587309423","https://openalex.org/W2790281639","https://openalex.org/W2795712740","https://openalex.org/W2883576902","https://openalex.org/W2902123348","https://openalex.org/W2937252947","https://openalex.org/W2948736612","https://openalex.org/W2951315194","https://openalex.org/W2961637401","https://openalex.org/W3006148615","https://openalex.org/W3006991999","https://openalex.org/W3030645803","https://openalex.org/W3034735478","https://openalex.org/W3045125456","https://openalex.org/W3092852776","https://openalex.org/W3112934611","https://openalex.org/W3134459418","https://openalex.org/W3150872160","https://openalex.org/W3198491580","https://openalex.org/W3199929841","https://openalex.org/W4223549842","https://openalex.org/W4281564584","https://openalex.org/W4283695295","https://openalex.org/W4296803711","https://openalex.org/W4311721841","https://openalex.org/W4383499356","https://openalex.org/W4392774563","https://openalex.org/W4393956165","https://openalex.org/W4399042298","https://openalex.org/W4407831949"],"related_works":["https://openalex.org/W4391375266","https://openalex.org/W2748952813","https://openalex.org/W2997567050","https://openalex.org/W2931662336","https://openalex.org/W2077865380","https://openalex.org/W3006817050","https://openalex.org/W4401768695","https://openalex.org/W2765597752","https://openalex.org/W1483272040","https://openalex.org/W4283377908"],"abstract_inverted_index":{"Introduction:":[0],"Adaptation":[1],"is":[2,34],"a":[3],"key":[4],"aspect":[5],"of":[6,48,121,162,177,190,224],"implementation":[7,151],"science;":[8],"interventions":[9,27,40,84],"frequently":[10],"need":[11],"adaptation":[12,99],"to":[13,36,78,86,112,117,143,150,157,202],"better":[14],"fit":[15,167],"their":[16],"delivery":[17],"contexts":[18],"and":[19,22,31,61,71,85,107,119,125,173,200,205,217],"intended":[20,180],"users":[21],"recipients.":[23],"As":[24],"digital":[25,55,82,146,187,207,225],"health":[26,56,83,147,188,208],"are":[28,41],"rapidly":[29,221],"developed":[30],"expanded,":[32],"it":[33],"important":[35],"understand":[37],"how":[38],"such":[39],"modified.":[42],"This":[43,210],"paper":[44],"details":[45],"the":[46,53,66,122,159,168,175,179,220],"process":[47],"engaging":[49],"end-users":[50],"in":[51,136,219],"adapting":[52],"PREVENT":[54,123],"intervention":[57,213],"for":[58,68,81,90,130],"rural":[59,141,153,169],"adults":[60,154],"systematically":[62],"reporting":[63],"adaptations":[64,109],"using":[65],"Framework":[67],"Reporting":[69],"Adaptations":[70,114],"Modifications-Enhanced":[72],"(FRAME).":[73],"The":[74,186],"secondary":[75],"objective":[76],"was":[77,100,155],"tailor":[79],"FRAME":[80,191],"document":[87],"potential":[88],"implications":[89,129],"equity.":[91],"Methods:":[92],"=":[93],"20).":[94],"Results:":[95],"All":[96],"but":[97],"one":[98],"planned,":[101],"most":[102],"were":[103,115],"reactive":[104],"(versus":[105],"proactive),":[106],"all":[108],"preserved":[110],"fidelity":[111],"PREVENT.":[113],"made":[116],"content":[118],"features":[120],"tool":[124,148],"may":[126],"have":[127],"positive":[128],"equity":[131],"that":[132],"will":[133],"be":[134,193],"tested":[135],"future":[137],"trials.":[138],"Conclusion:":[139],"Engaging":[140],"partners":[142],"adapt":[144],"our":[145],"prior":[149],"with":[152],"critical":[156],"meet":[158],"unique":[160],"needs":[161],"rural,":[163],"low-income":[164],"adult":[165],"patients,":[166],"clinical":[170],"care":[171],"settings,":[172],"increase":[174],"likelihood":[176],"generating":[178],"impact":[181],"among":[182],"this":[183],"patient":[184],"population.":[185],"expansion":[189],"can":[192,211],"applied":[194],"prospectively":[195],"or":[196],"retrospectively":[197],"by":[198],"researchers":[199],"practitioners":[201],"plan,":[203],"understand,":[204],"characterize":[206],"adaptations.":[209],"aid":[212],"design,":[214],"scale":[215],"up,":[216],"evaluation":[218],"expanding":[222],"area":[223],"health.":[226]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-05-06T08:25:59.206177","created_date":"2025-10-10T00:00:00"}