TABLE 1:
Intervention Mapping (IM) Steps with Associated Tasks and AVP Deliverables
Yr | IM Steps | IM Tasks | Development Deliverables |
---|---|---|---|
1 | 1. Assess need and develop a logic model of the problem | • Establish and work with a planning group. • Describe the context for the intervention, including the population, setting, and community. • Conduct a needs assessment to create a logic model of the problem. |
• Clinic Provider Advisory Group • Literature review – evidence table • PRECEDE Model |
2. Develop matrices of change objectives and a logic model of change | • State expected outcomes for behavior and environment. • Specify performance objectives for behavioral and environmental outcomes. • Select determinants for behavioral and environmental outcomes. • Create a logic model of change. • Construct matrices of change objectives. |
• Matrices for provider outcome behaviors comprising 8 performance objectives and 65 learning objectives. • Conceptual model for the AVP (model of change). |
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3. Identify theory-based methods and practical applications for program design | • Generate program themes, components, scope, and sequence. • Choose theory- and evidence-based methods to create change. • Select or design practical applications to deliver change methods. |
• AVP design document comprising specifications including: content, design features, functionality, language, logistics of use and implementation in the clinic, orientation needs, and evaluation specifications. | |
2 | 4. Produce program components and materials | • Refine program structure and organization. • Prepare plans for program materials. • Draft messages, materials, and protocols. • Pretest, refine, and produce materials. |
• AVP Champion webinars (n=4). • AVP Champion Binders for each clinic. • Provider assessment and feedback reports. • Provider continuing education module. • EHR Best Practice Advisory for HPV vaccination. • Pediatric Wellness Registry for patient HPV vaccination reminders. • Pilot test protocols and results: • Manual of Procedures. • AVP component feasibility testing in advisory clinics. |
5. Plan for program adoption, implementation, and sustainability | • Identify potential program implementers. • State outcomes and performance objectives for implementation. • Construct matrices of change objectives for implementation. • Design implementation interventions. |
• Processes and channels for deployment of AVP strategies. • Matrix of key stakeholders / gatekeepers for implementation. |
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6. Plan for evaluation | • Write effect and process evaluation questions. • Develop indicators and measures for assessment. • Specify evaluation design. |
• Evaluation Design Manual of Procedures, including: • Study hypotheses and protocols. • Measures for assessment. • Baseline and follow-up surveys for physicians and clinic staff. |