The study uses existing frameworks (IM-Adapt and FRAME) to develop and report on how an intervention was adapted for Latino persons seeking care for chronic spine pain at Federally Qualified Health Centers in the southwestern United States. Investigators describe, step-by-step, how they used a logic model as guide, an existing physical therapy intervention, other existing research evidence, and pilot testing with real patients, to systematically adapt the intervention for communities of a different culture and who speak a different language. This paper describes a structured approach for communicating these adaptations in a way that could be replicated for other types of treatments and for other communities in need.