Checklist for Study or Intervention
Planning
Click here for a
Checklist for Study or Intervention Planning.
Ways to Address Reach in Efficacy
and Effectiveness Studies
During Efficacy Trials (Phase III Research),
do these things to address Adoption:
- Have potential adoptees assess
fit of prototype intervention to their setting.
- Include "proxy measures" of
adoption—such as participation among those staff members
of a system who will participate in the study.
During Effectiveness Trials (Phase IV Research),
do these things to address Adoption:
- Assess willingness of stakeholders
from multiple settings to adopt and adapt the program.
- Report on representativeness
of settings, participation rate and reasons for declining.
Common Challenge Encountered in
Evaluating Health Behavior Interventions and Remedies
Program not ever adopted or endorsed — or
only used in academic settings might be remedied by doing these things:
- Involve potential adoptees (real
world) settings beginning with initial design phase.
- Approach a representative or
broad group of settings early on when you can still revise the
intervention.
Questions to Ask about Adoption
when Evaluating Health Promotion Programs and Policies
- What percent of settings and
intervention agents within these settings (e.g., schools/educators,
medical offices/physicians) were excluded?
- What percent of settings and
intervention agents within these settings participated?
- How representative were eligible
settings and intervention agents?
Questions to Ask and Ways to Enhance
Overall Impact
The Questions
- What percent of the target settings
and organizations will use the intervention?
- Will organizations having underserved
or high-risk populations use it?
- Does program help the organization
address its primary mission?
Possible Ways to Enhance Dissemination
- Conduct formative evaluation with adoptees and
non-adoptees
- Recruit settings that have contact with target
audience
- Provide different cost options and customization
of intervention
- Develop recruitment materials outlining
program benefits and required resources
Guidelines and Multi-level Strategies to Enhance Dissemination
and Public Health Impact
Individual Target Level
- Elicit consumer demand
- Publicize status of various organizations
Delivery Site or Organization Level
- Provide flexible program that can
be customized
- Provide optional components or modules
- Present data on cost effectiveness
Systems or Network Level
- Make the intervention a top priority for system
- Release or remove other competing demands
- Do a trial adoption
Calculating Adoption
Click here to use the adoption
calculator.
Addressing Other Elements
Click on other elements listed below to access related resources.
