Systematic Adaptation of the JOBS Program for Use with Adults with Visual Impairments.

INTRODUCTION

The purpose of this study was to use a systematic process to adapt the JOBS program, an evidence-based job search intervention, for use with unemployed adults with visual impairments and implementation via videoconferencing.

METHOD

The Planned Adaptation approach, an established framework for adapting evidence-based practices, guided the adaptations. The four-step Planned Adaptation process comprised examining the program's theory of change, identifying population differences, adapting the program content, and adapting the evaluation strategy.

RESULTS

The original JOBS program has five key components, two critical causal mechanisms, and several potential moderators. Differences between the original and new target populations include needs, experiences, and employment barriers. Adaptations included activity changes, new processes to enhance outcomes, and changes to the implementation procedures. The evaluation plan for the adapted program includes a pilot study to test the updated activities, processes, and procedures, followed by an efficacy study to assess outcomes.

DISCUSSION

The JOBS program was a strong candidate for systematic adaptation due to its theoretical foundation, thorough documentation, and established active ingredients. Stakeholder input increased the relevance and feasibility of the adaptations. Future research is needed to evaluate the adapted program and its outcomes.

APPLICATION FOR PRACTITIONERS

After completion of the evaluation plan, the new JOBS adaptation will be available for practitioners to use with adults with visual impairments. Practitioners may find the Planned Adaptation approach useful for adapting other programs to better meet the needs of the population they serve.