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Background Evidence-based interventions (EBIs) are sometimes implemented in contexts where ongoing program activities overlap with EBI components. As part of a comprehensive cross-site evaluation, we examined the grantfunded implementation of the EBI “Yes We Can” (YWC), a medical-social model for pediatric asthma care coordination, in four distinct settings. Assessment indicated that some sites already had in place one or more activities that were similar to YWC components. We examined why and to what extent organizations “retrofitted” existing activities to align with YWC core elements, and how retrofitting influenced implementation and maintenance.

Adaptation reconceptualized: "retrofitting" ongoing organizational activities with essential elements of evidence-based interventions