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Intervention Mapping - Introduction (6 steps (4) Program Production (How…
Intervention Mapping - Introduction
systematic framework for effective decision-making at each step in intervention
developing
planning
implementation
evaluation
6 steps
1) Needs assessment
Logic Model of the
Problem
What is the problem?
How? Why? Who?
what causes it? who could help?
2) Defining Program Objectives
What do we want to achieve?
in health
in environment
in behavior
in cognitions/beleifs related to that behavior
Logic Model of
Change
WHO needs to do WHAT, WHEN and HOW OFTEN?
From Model to Matrix
determinants
target group
for environment
for individual
performance objectives
change objectives
input from needs assessment
content of intervention
3) Design - Methods & Applications
How can we achieve that?
select methods
general theory method of change explaining why and how it works, what it changes
translate into applications
in a specific practical application that works in my context & target group
Intervention logic Model
4) Program Production
How does that look like?
combine all selected methods!
sequence
themes
producers?
scope
Pre-test, but how?
Aware, Adopt, Implement, Maintain!
5) Program Implementation
Who will deliver the program?
matrices, method selection, practical applications, all over again!
create ownership by involving decision makers early!
6) Program Evaluation
Is it effective & used?
evaluation of
effect
&
process
use program matrices
to decide on
effect measures!
use adoption/implement matrices
to decife on
process evaluation
Why Intervention Mapping?
stimulated by questions that could not be answered by available health education & health promotion resources
How to ensure implementation?
How to address the environment?
How, when and what kind of evidence to use?
What makes IM different from other approaches?
core processes
in each step
pose planning problems as question
brainstorm answers
search for empirical evidence
use theoretical evidence
theory = formal and abstract statement about selected aspect of reality -> therefore a reduction of reality
conduct new research if evidence is lacking
develop answers
define SMART
Specific
Measurable
Achievable
Realistic
Time
multi-theory & evidence-based
problem-driven
cultural senstivity of theories
ecological (multi-level) approach
ecological levels
subject levels
individual, interpersonal, organization, community, society, supranation
participation of stakeholders
improves external validity
essential for program success
holistic - including all steps from problem to solution and implementation
Behavior (change)?
theories for
explaining
behavior
theories for
changing
behavior
Behavior vs. Determinants
behaviors = observable acts, actual "doing"
determinants = antecedents/predictors of behavior
mostly not observable, but measurable
social-cognitive factors