7Intervention Mapping Presentation

7/30/2019 7Intervention Mapping Presentation

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For Classroom Use Only2003 University of Texas Houston Health Science Center

L. Kay Bartholomew, Guy S. Parcel,

Gerjo Kok, and Nell H. GottliebIntervention Mapping: Designing Theory andEvidence Based Health Promotion Programs

Introduction


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Developing and AnalyzingHealth Promotion Programs

What is Intervention Mapping?


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Intervention Mapping DevelopmentQuestions that we couldnt easily answer from available resources:

THEORY

When in the planning process do I use theory toguide my decisions?

How do I know what theories and constructs to use?


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EVIDENCE

How do I make use of the experience of others andthe results of program evaluations.

How do I judge the the validity and strength ofevidence?

Intervention Mapping DevelopmentQuestions that we couldn t easily answer from available resources:


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EFFECTIVE METHODS

How do I decide what intervention methods to use? How can I get from program goals and objectives to

the specific intervention strategies for the programparticipants?

How do I link program design with programimplementation?



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ECOLOGICAL APPROACH

How do I address changing the behavior of people inthe environment (i.e. make sure interventionaddresses those people who are not at risk for thehealth problem , but are important to changing

conditions that affect those at risk)?



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Possible innovation in the way we do

planning :

Explication of Multilevel Environmental FactorsRelated to Health and Behavior

Explicit attempts to facilitate an ecologicalplanning approach that takes intoconsideration both the social and physical

environmental factors that influence a healthproblem


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planning :

Focus on Behavior of Both the At-RiskPopulation and the Agents of Environmental

Change

Explicit definition of behavior includingperformance objectives


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planning Proposed Determinants

The explicit delineation of the factors that can

be supported as [causally] related tobehavioral or environmental causes of ahealth problem

The explicit intersection of these

determinants with the performancenecessary to carry out the health behavior orchange the environmental factor MATRICES


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planning :

Matrices of Proximal Program Objectives

The use of the Matrix device to plan methodsand strategies for both

The intervention itself

Adoption, implementation, maintenance and

wide diffusion of the intervention


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planning:

The Difference between Methods and

StrategiesThe attempt to force a division between

theoretical methods and practical strategies


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The goal of developing Intervention

Mapping was to describe and clarifythe processes that have been used to

create effective interventions.

Not to create a newprocess!


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Designing Theory- and Evidence-BasedHealth Promotion

What is Intervention Mapping?


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Intervention Mapping


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Intervention Mapping Step I

Matrices of Proximal Program Objectives

State expected changes in behavior and environment

Specify performance objectives

Specify hypothetical determinants

Create matrices (if necessary, differentiate thepopulation)


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Creating a Matrix of

Proximal Program Objectives

Determinant 1 Determinant 2

Performance

objective 1

Learning/change

objective

Learning/change

objective

Performance

objective 2

Learning/changeobjective

Learning/changeobjective


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Matrix on Determinants of Buying

or Obtaining a Condom

Performance Personal Determinants

Objective Knowledge Self-efficacyBuys or obtains acondom

Learning objectives

Identify wherecondoms can be

obtained

Identify location ofcondoms in storesDescribe types of

condoms and features

for effectiveness

Explain how to buyor obtain a condom

Learning objectives

Express confidencein ability to go into a

store and buy a

condom

Feel confident inability to deal withembarrassment when

buying a condom


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Intervention Mapping Step 2

Methods and Strategies

Brainstorm methods

Translate methods into practical strategies Organize methods and strategies by groups

of leaning objectives at each level and checkthat methods are properly operationalized


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Methods and Strategies

A Method is a general

process for influencingchanges in thedeterminants of behaviorand environmental

conditions

A strategy is a practical

technique for theapplication of methodsin ways that fit with theintervention group andthe context in which the

intervention will beconducted


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Intervention Mapping Step 3

Producing Program Components

Operationalize the strategies into plans that

consider implementers and sites Develop design documents and produce

materials

Pretest programs and materials with

intervention groups and implementers


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Intervention Mapping Step 4Planning for Adoption, Implementation and

Sustainability

Develop a linkage system

Create matrices of proximal program objectives

Select methods and strategies and create a diffusionintervention table

Write an adoption and implementation plan


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Intervention Mapping Step 5Planning for Evaluation

Develop an evaluation map

State process and effect questions

Develop or select indicators and measures using thematrices

Specify evaluation designs and write the plan


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Analyzing Programs

Behaviors Environmental Conditions?

What determinants are targeted?

J ustifiable determinants?

Methods matched to determinants

Methods operationalized into strategies?

Documents

7Intervention Mapping Presentation