1. Engage community members and other key stakeholders in designing the intervention.
__ The group regularly provides opportunities for stakeholders, including those from the target community or population, to be involved in developing, selecting, or providing feedback regarding potential and current interventions facilitated by the initiative.
2. Identify the objectives to be attained by the intervention.
__ The group identifies the target population (or community) and the target behaviors that are desired to be changed by an intevention when selecting or assessing the appropriateness of an intervention.
__When assessing the appropriateness of a potential intervention, the group identifies the specific factors such as (a) personal factors, (b) environmental factors, (c) risk factors, and/or (d) protective factors to be targeted or addressed by the intervention.
__ The group has specific objectives or measures of success to be achieved by potential or current interventions implemented by the initiative.
3. Review candidate interventions or “best practices” related to your problem/goal before choosing or adapting an intervention.
__ The group considers effective approaches or best practices related to the issue when selecting or adapting an intervention.
__ The group considers “what works” or “what doesn’t work”, especially in the target community or with the target population, when selecting, developing, or adapting an intervention.
__ The group considers how the intervention needs to be developed or adapted to fit the needs of the local people, context, and resources.
4. Identify core components, elements, and modes of delivery for the intervention.
__ Identify core intervention components and modes of delivery based on the analysis of the problem/goal and available resources.
__ The group has secured or allocated appropriate financial, human, and material resources necessary for implementing the potential and/or current intervention(s) supported by the initiative.
__ The group has identified how and by whom the intervention components for all interventions supported by the initiative will be implemented and delivered.
__ The group has and uses established timelines or schedules to guide the implementation of the intervention over time.
__ The group has identified and established appropriate relationships and agreements with other collaborators and key stakeholders necessary for implementing and supporting the intervention.
__ The persons or groups responsible for implementing the intervention(s) have received appropriate training and technical support.
5. Evaluate the implementation of the intervention and its contributions towards improving outcomes related to the issue.
__ The group has a structured system to track data regarding the implementation of the group’s activities and accomplishments.
__ The group implements intervention(s) with fidelity, makes adjustments as needed, and assures conditions for its success.
__ Organizational leaders, including the board and staff, regularly review and assess data on documented activities to assess the progress of the initiative in implementing the intervention.
__ The group collects outcome data to assess the contribution of the intervention towards change and improvement in behaviors and longer-term outcomes targeted by the intervention(s)
__ Organizational leaders, including the board and staff, regularly review and assess outcome data related to the implementation of the intervention(s).
__ The group collects and analyzes pre-intervention, during and post-intervention outcome data to assess the level of the issue.
6. Use information on the implementation of the intervention to celebrate, make adjustments, and assure effectiveness of the intervention.
__ The group, including staff and board members, uses data and other information to assess the implementation of the intervention and to make necessary adjustments to the intervention(s).
__ The group is effective in identifying and responding to barriers and opposition experienced in implementing the intervention.
__ The group regularly celebrates successes and accomplishments for progress in implementing the intervention.
__ The group regularly shares data regarding the implementation of the intervention and related outcomes data with key leaders, partners, and stakeholders in the community to enhance support for the intervention(s).
