Table 2.

Key Domains and Activities of a Translational Phase for Caregiver Interventions

Domain	Key activities
Identify stakeholders and partners	Involve key stakeholders including potential interventionists, administrators, and end users (family caregivers) to identify best way to name and frame program, market it, integrate it into practice or service site routines
Intervention refinements	• Identify immutable and mutable aspects of the intervention guided by theory and empirical analyses (e.g., mediation; moderation, dose response)
	• Streamline dose and intensity based on contextual requirements and available evidence
Manual refinements	• Adapt and streamline treatment manual for consumption by practice site and interventionists
	• Standardize all aspects of the intervention and manual for scaling up
Establish training program	• Streamline training time to fit service context
	• Identify criteria for being an interventionist
	• Identify approach to certifying training
	• Identify future training strategies for scaling up
Site preparedness	• Evaluate readiness of site to implement an evidence-based program
	• Identify staffing, supervision, training, quality control needs, and associated site costs
Examine payment mechanisms	• Identify costs and costs savings for intervention delivery
	• Identify and evaluate reimbursement mechanisms and other payment approaches
Establish an approach to fidelity	• Develop a fidelity plan commensurate with resources and context of service setting
	• Integrate plan within site routines if possible involving supervisory and monitoring structures in place
Evaluate translational activities	• Use theoretical or conceptual models to understand translational processes and outcomes
	• Evaluate uptake by interventionists and adoption at site
	• Evaluate outcomes for end users (participants, clients, families)