Table 2.
Different approaches to intervention development
Category | Definition | Examples of approaches* |
1. Partnership | The people whom the intervention aims to help are involved in decision-making about the intervention throughout the development process, having at least equal decision-making powers with members of the research team. | Coproduction, cocreation, codesign; user driven; experience-based codesign; community-based participatory research |
2. Target population centred | Interventions are based on the views and actions of the people who will use the intervention. | Person based; user centred; human-centred design |
3. Theory and evidence based | Interventions are based on combining published research evidence and existing theories for example, psychological or organisational theories. | Medical Research Council Framework for developing and evaluating complex interventions; Behaviour Change Wheel; Intervention Mapping; Normalisation Process Theory; Theoretical Domains Framework |
4. Implementation based | Interventions are developed with attention to ensuring the intervention will be used in the real world if found to be effective at the evaluation phase. | Reach, Effectiveness, Adoption, Implementation, Maintenance |
5. Efficiency based | Components of an intervention are tested using experimental designs to determine active components and make interventions more efficient. | Multiphase Optimization Strategy |
6. Stepped or phased | Interventions are developed through emphasis on a systematic and sequential set of processes involved in intervention development. | Six essential Steps for Quality Intervention Development; Five actions model; Obesity Related Behavioral Intervention Trials |
7. Intervention specific | An intervention development approach is constructed for a specific type of intervention. | Digital (eg, Integrate, Design, Assess and Share); patient decision support aids |
8. Combination | Published approaches to intervention development are combined. | Participatory Action Research based on theories of Behaviour Change and Persuasive Technology |
9. Pragmatic | Developers use a self-selected set of actions. | Sometimes framed as mixed methods or formative evaluation |
*See reference 6 for references and examples.