Intervention Mapping: Worksheet
Set subject, evidence, roles, flow, and review.
# Intervention Mapping: Worksheet
## Question
To be confirmed
## Desired outcome
To be confirmed
## Scope
Whole initiative
Time: Several months; six iterative steps with continuous participation and evaluation.
Complete this worksheet on paper or in your own document during the work.
## Preparation for this scope
### Method setup
- **Materials:** Needs assessment, logic model, change-objective matrices, theory/method evidence, program design, implementation and evaluation plan
- **Roles:** Planning group · population representatives · behavioural/environmental experts · implementing organisation · evaluation lead
- **Advance information:** Establish a planning group with population representation; bound problem, population, setting, and epidemiological plus qualitative evidence.
- **Overall time needed:** Several months; six iterative steps with continuous participation and evaluation.
- **Setup:** Prepare a workspace with Needs · Objectives · Methods · Program · Implement · Evaluate; separate example from live data.
### Prepare for the work steps
#### Needs: Problem logic
- Establish a planning group with population representation; bound problem, population, setting, and epidemiological plus qualitative evidence.
- Needs assessment, logic model, change-objective matrices, theory/method evidence, program design, implementation and evaluation plan
#### Objectives: Objective matrix
- Problem logic
#### Methods: Methods plan
- Objective matrix
#### Program: Program prototype
- Methods plan
#### Implement: Implementation plan
- Program prototype
#### Evaluate: Evaluation plan
- Implementation plan
## Intervention Mapping · working structure
### Problem logic
Create needs assessment and Logic Model of Problem with behaviour, environment, and determinants.
...
### Objective matrix
Break behavioural/environmental outcomes into performance objectives and cross them with determinants.
...
### Methods plan
Select theory-based change methods, check parameters, and translate into applications.
...
### Program prototype
Organise applications into coherent components, materials, and sequence; pretest with population.
...
### Implementation plan
Plan adoption, implementation, and maintenance with implementer outcomes, objectives, and strategies.
...
### Evaluation plan
Plan process and outcome evaluation with questions, indicators, design, and data use.
...
The blank worksheet contains prompts only.
[Reference · original teaching example](https://interventionmapping.com/)
## Needs: Problem logic
Expected artifact: Problem logic
Create needs assessment and Logic Model of Problem with behaviour, environment, and determinants.
Entry:
...
- [ ] Are problem, population, behaviour, and environmental factors evidenced?
## Objectives: Objective matrix
Expected artifact: Objective matrix
Break behavioural/environmental outcomes into performance objectives and cross them with determinants.
Entry:
...
- [ ] Is each cell a concrete person or environment change?
## Methods: Methods plan
Expected artifact: Methods plan
Select theory-based change methods, check parameters, and translate into applications.
Entry:
...
- [ ] Does method fit determinant with application parameters honoured?
## Program: Program prototype
Expected artifact: Program prototype
Organise applications into coherent components, materials, and sequence; pretest with population.
Entry:
...
- [ ] Does every component trace to change objectives and remain usable?
## Implement: Implementation plan
Expected artifact: Implementation plan
Plan adoption, implementation, and maintenance with implementer outcomes, objectives, and strategies.
Entry:
...
- [ ] Are decision makers, implementers, resources, and maintenance explicit?
## Evaluate: Evaluation plan
Expected artifact: Evaluation plan
Plan process and outcome evaluation with questions, indicators, design, and data use.
Entry:
...
- [ ] Do indicators cover implementation, determinants, behaviour, and outcome?
## Open questions and next steps
...
Method guide: https://methodatlas.meierhoff-systems.de/en/methods/intervention-mapping/run-sheet