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NUTR 3070 (34)
John Dwyer (34)

January 22 - Intervention Mapping.docx

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NUTR 3070
John Dwyer

Intervention Mapping Planning approach based on: - Developing theory and evidence-informed programs - Ecological approach - Community participation (include key steak holders) 1. Theory & Evidence o Theory to describe factors to achieve change o Theory to protect against type 3 error (protect against implementing a poorly conceptualized program) o Theory in problem-solving (it is practical & solves problems) 2. Ecological Models o Health is a function of individuals and environments  Family, social networks, community; need to be changed to change behaviours o Various environmental levels o Program may be aimed at any ecological level  May focus on school, family, etc. o “Agents” at each level  Change agents, decision makers, people that make change happen.  Ex: to change a childs behaviour you need to change agents (parent/teacher) behaviour 3. Community Participation o Reflects concerns for community o Greater expertise o More acceptable interventions  If you involve them in process they are more likely to comply 6 Steps to take when using an intervention mapping approach 1. Needs Assessment o Epidemiological, behavioral and social analysis of at-risk group or community and its problems o Understand the character of the community (context, strengths of community, etc.) Tasks o Establish a participatory planning group o Conduct a needs assessment o Assess community capacity o Specify program goals for health & quality of life 2. Matrices of Change Objectives (objectives about what we want to change) o Who and what will change o Matrice of ecological levels that combines performance objectives for each level with determinants to produce change objectives Tasks o State outcomes for behavior and environmental change o State performance objectives o Select important and changeable determinants o Create a matrix of change objectives 3. Theory-based Methods and Practical Applications o To change determinants o Method: Process by which theories postulate and research provides evidence for how change may occur in behaviour  Ex: modeling o Application: Way of organizing, operationalizing, and delivering methods Tasks o Generate program ideas with planning group o Identify theoretical methods o Choose program methods o Select or design practical applications o Ensure that applicants address change objectives 4. Program Production Tasks o Consult intended participants & implementers o Create program themes, scope, sequence, and materials list o Prepare design documents o Review available program materials o Draft program materials and protocols o Pretest or pilot test program materials and protocols o Produce materials and protocols (final production) 5. Program Adoption and Implementation o Developing a matrix like that done in step 2 o Product is plan for accomplishing program adoption and implementation by influencing behaviour of individuals or groups who will make these decisions 6. Evaluation Planning o Effect evaluation  Effectiveness of program o Process evaluation  How was program planned (how many brochures handed out) Tasks o Review program logic model o Write effect evaluation questions o Write evaluation questions for changes in determinants o Write process evaluation questions o Develop indicators and mea
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