Intervention Programming

1. Intervention Programming By Richard T. Patton

2. MATCH – Multilevel Approach to Community Health • Individual • Interpersonal • Organizational • Social • Governmental Five social levels to which intervention can be directed

3. MATCH – Phases 1. Goal Selection 2. Intervention Planning 3. Program Development 4. Implementation Preparations 5. Evaluation

4. MATCH – Phase 1 Steps Goal Selection • Select Health Status Goals • Select High Priority Target Populations • Identify Health Behavior Goals • Identify Environmental Goals

5. Step 1: Select Health Status Goals • Prevalence • Perceived and actual importance • Changeability • Mission, availability of programmatic resources

6. Step 2: Select High-Priority Population • Health problem prevalence • Accessibility • Programmatic interests

7. Step 3: Identify Health Behavior Goals • Prevalence • Association • changeability

8. Step 4: Identify Environmental Goals • Access to services,products • Availability or programs and resources • Enabling polices, practices, regulations, opportunities • Physical barriers, restrictions, protections

9. MATCH – Phase 2 steps Intervention Planning • Identify the Targetsof the intervention • Select intervention Objectives • Identify mediators of the intervention • Select intervention Approaches

10. Step 1: Identify the Targets of Intervention • Social level • Intervention objectives

11. Step 2: Select Intervention Objectives • Prevalence, association, and changeability • Social level and target of the intervention • Practice setting

12. Step 3: Identify Mediators of the Intervention Objectives • Knowledge and skills • Attitudes • Practices

13. Step 4: Select Intervention Approaches • Theory • Objective, target, and societal level • Setting and channel • Intervener

14. MATCH – Phase 3 Steps Program Development • Create program units or components • Select or develop Curricula and create intervention guides • Develop session plans * Educational objectives * Teaching/learning activities * Materials * Instructions, information, and resources Create/acquire instructional materials

15. Step 1: Create Program Units or Components • Target population • Targets of the interventions, intervention level • Intervention objectives • Structural unit • Channel-interpersonal and mediated

16. Step 2: Select or Develop Curricula and Create Intervention Guides • Goals and objectives • Content • Teaching and learning objectives • Materials

17. Step 3: Develop Session Plans • Educational objectives • Teaching/learning objectives • Materials • Instructions and information resources

18. Step 4: Create or Acquire Instructional Materials • Review and select from available materials • Develop materials 1. Conduct needs assessments 2. Pilot test 3. Produce

19. MATCH – Phase 4 steps Implementation Preparations • Facilitate adoption, implementation and maintenance. *Advocate for the adoption of change * Develop support * Provide evidence of efficacy * Identify change agents/opinion leaders • Select and Train Implementers

20. Step 1: Facilitate Adoption,Implementation, and Maintenance • Develop proposal and advocate for adoption of change • Develop need, readiness, and environmental supports • Provide evidence of efficacy • Identify/select change agents and opinion leaders • Establish support and constructive working relationships

21. Step 2: Select and Train Implementers • Train, provide opportunities for observation and practice • Monitor and support

22. MATCH – Phase 5 steps *Conduce Process Evaluation *Measure Impact *Monitor Outcomes

23. Phase 5: Evaluation • Step1: Conduct process evaluation • Step2: Measure impact • Step3: Monitor outcomes

24. Step 1: Conduct Process Evaluation • Recruitment and planning • Session/program implementation • Quality of the learning activities • Immediate outcomes

25. Step 2: Measure Impact • Mediators • Behavior and environmental outcomes • Side effects

26. Step 3: Monitor Outcomes • Health outcomes • Cost effectiveness • Policy recommendations