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Intervention Programming. By Richard T. Patton. MATCH – Multilevel Approach to Community Health. Individual Interpersonal Organizational Social Governmental. Five social levels to which intervention can be directed. MATCH – Phases. 1. Goal Selection 2. Intervention Planning

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Intervention Programming

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Intervention programming l.jpg

Intervention Programming

By Richard T. Patton


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MATCH – Multilevel Approach to Community Health

  • Individual

  • Interpersonal

  • Organizational

  • Social

  • Governmental

Five social

levels

to which

intervention

can be

directed


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MATCH – Phases

1. Goal Selection

2. Intervention Planning

3. Program Development

4. Implementation Preparations

5. Evaluation


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MATCH – Phase 1 Steps

Goal Selection

  • Select Health Status Goals

  • Select High Priority Target Populations

  • Identify Health Behavior Goals

  • Identify Environmental Goals


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Step 1: Select Health Status Goals

  • Prevalence

  • Perceived and actual importance

  • Changeability

  • Mission, availability of programmatic resources


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Step 2: Select High-Priority Population

  • Health problem prevalence

  • Accessibility

  • Programmatic interests


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Step 3: Identify Health Behavior Goals

  • Prevalence

  • Association

  • changeability


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Step 4: Identify Environmental Goals

  • Access to services,products

  • Availability or programs and resources

  • Enabling polices, practices, regulations, opportunities

  • Physical barriers, restrictions, protections


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MATCH – Phase 2 steps

Intervention Planning

  • Identify the Targetsof the intervention

  • Select intervention Objectives

  • Identify mediators of the intervention

  • Select intervention Approaches


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Step 1: Identify the Targets of Intervention

  • Social level

  • Intervention objectives


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Step 2: Select Intervention Objectives

  • Prevalence, association, and changeability

  • Social level and target of the intervention

  • Practice setting


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Step 3: Identify Mediators of the Intervention Objectives

  • Knowledge and skills

  • Attitudes

  • Practices


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Step 4: Select Intervention Approaches

  • Theory

  • Objective, target, and societal level

  • Setting and channel

  • Intervener


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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


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Step 1: Create Program Units or Components

  • Target population

  • Targets of the interventions, intervention level

  • Intervention objectives

  • Structural unit

  • Channel-interpersonal and mediated


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Step 2: Select or Develop Curricula and Create Intervention Guides

  • Goals and objectives

  • Content

  • Teaching and learning objectives

  • Materials


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Step 3: Develop Session Plans

  • Educational objectives

  • Teaching/learning objectives

  • Materials

  • Instructions and information resources


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Step 4: Create or Acquire Instructional Materials

  • Review and select from available materials

  • Develop materials

    1. Conduct needs assessments

    2. Pilot test

    3. Produce


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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


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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


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Step 2: Select and Train Implementers

  • Train, provide opportunities for observation and practice

  • Monitor and support


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MATCH – Phase 5 steps

*Conduce Process Evaluation

*Measure Impact

*Monitor Outcomes


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Phase 5: Evaluation

  • Step1: Conduct process evaluation

  • Step2: Measure impact

  • Step3: Monitor outcomes


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Step 1: Conduct Process Evaluation

  • Recruitment and planning

  • Session/program implementation

  • Quality of the learning activities

  • Immediate outcomes


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Step 2: Measure Impact

  • Mediators

  • Behavior and environmental outcomes

  • Side effects


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Step 3: Monitor Outcomes

  • Health outcomes

  • Cost effectiveness

  • Policy recommendations


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