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 Implementation:
- Collect data on likely treatment
demands.
- Evaluate delivery of intervention
protocol by different intervention agents (usually research staff).
During Effectiveness Trials (Phase IV Research),
do these things to address Adoption:
- Assess staff ability to implement
key components of the intervention in routine practice.
- Evaluate consistency of intervention
delivery by agency staff who are not part of research team.
Common Challenge Encountered in
Evaluating Health Behavior Interventions and Remedies
Protocols not being delivered as intended
(type III errors) might be remedied by doing these things:
- Assess if treatment (Tx) is
too complicated, too intensive, or not compatible with other
duties.
- Involve potential (non-research)
intervention agents in program design.
Questions to Ask about Implementation
when Evaluating Health Promotion Programs and Policies
- To what extent were the various
intervention components delivered as intended (in the protocol)?
- To what extent were the various
intervention components delivered when the intervention was conducted
by different (non-research) staff members?
- To what extent were the various
intervention components delivered when the intervention was conducted
in applied settings?
Questions to Ask and Ways to Enhance
Overall Impact
The Questions
- How many staff within a setting
will try the intervention?
- Can different levels of staff
implement the program successfully?
- Are different components delivered
as intended?
Possible Ways to Enhance Dissemination
- Clear intervention protocols
- Consider automating part or all of the program
- Monitor and provide staff feedback and recognition
for implementation
Guidelines and Multi-level Strategies to Enhance Dissemination
and Public Health Impact
Individual Target Level
- Publicize consumer guidelines
Delivery Site or Organization Level
- Provide feedback about implementation
- Involve many staff members
- Automate the intervention for consistency
Systems or Network Level
- Provide recognition, reinforcement, and rewards
for staff
- Fine tune, experiment, and revise
Addressing Other Elements
Click on other elements listed below
to access related resources.
