Fig. 3

Design Thinking and FRAME were used to track adaptations and balance the competing needs of organizations and the clinician /user of PPE Portraits. While the organization is concerned with sociopolitical factors, sustainability, and feasibility of the intervention, the clinician is concerned with intervention fit to recipient, acceptability amongst other clinicians, and appropriateness considering the setting. With each adaptation, there is a balance between innovation and fidelity to the original intervention. This figure is our own, created by authorship team